HomeMy WebLinkAboutDrain Layers Permit 80 Diane Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLL&ION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 442
Oat. 119.73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 80 tune Dr* on the
We side, between DiMe & Be ediot
at premises owned by � � r3C3E
whose address ism*
and to _ Lay House Drain, Repair House Drain, Lay Main, Other
for reltidenti.A occupancy or use,
with nine (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with MIX Inch (6) pUstic rim
Permit to be issued to jckbn T&ms n
the holder of Drain Layer's License No.W9-2o6185 Permit will expire on Dfto Pj 19 73
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 ram lave= to pump .nis and !3 septic tank
Signed - -�
Connection Charge Paid $ 09o38.. Licensed Drain Layer
i
Per y-* Manic (Sig) Issued by Rol bA. Ai:rstirura ether Jr*
Tax Collector
Permit Fee: Paid $. 15*00
INSPECTION: Check
INITI#r5— v (Sig)
r ,r
FINAL (Sig)
APP (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
GLOCATION C-v 0i9 pe
/v OWNER , :y,., .r",V law
TYPE OF WORK clzr vrg �QQc-
y o/FT C qw,,u DATE o a. 8' PERMIT y 2, PIPE /74rr/a
INSTALLER it-�ra n
INSPECTOR S DRAWN BY 1