HomeMy WebLinkAboutDrain Layers Permit 736 Deming Street TOWN OF SOUTH WI N DSOR -
DEPARTMENT OF POLLUTION CONTRWJ Bhp No.: _t9•
South Windsor, Connecticut ,,
List No.:.
g-4o�g3
DRAIN LAYER'S PERMIT NO 56
, 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
a } side, between_- L119tdc ltaba6l d AZ*4 i4 t
at premises owned by
whose address is
and to i E Lay House Drain, Repair House Drain, Lay-Main, Other
for #-� occupancy or use,
with ;;s f ►) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made with <_ ,,..
Permit to be issued to $ "r r,�C
the holder of Drain Layer's License No._ Permit will expire on w5 4u; - 19 `Ilk.
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side-
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS—
ConnectionSigne
Charge Paid ( —' , ;"' Y,4
nsed Drain Layer
Issued by eft �,
Tax Collector ..
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
1
_-}—
FINAL J /'I c) 14 11r` .f r' 7r (Sig)
E APPROVED (Date)
(Sig)
INSPECTOR �_�
w �
N
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION �
OWNER C L of x✓ Z Ma
TYPE OF WORK -SFwk,4 �AiF�4G
DATE w' PERMIT 7 PIPE V C P
INSTA LE �,ri✓„Lws , '
INSPECTOR S" DRAWN BY .I'