HomeMy WebLinkAboutDrain Layers Permit 275 Diane Drive ,. TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
s� DRAIN LAYER'S PERMIT B-60194N? 231
29 Hu 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ZZ5 4 ` * (lot ) on the
• side, between
at premises owned by_ .*I
whose address is *
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for maidential occupancy or use,
with 6" 0) Family Units,, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with six- a (61f) &4 —4
Permit to be issued to 40 A, -z
the holder of Drain Layer's License No._ 109406188 Permit will expire on 29 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit andthe reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS OF t* VW24i Muft Md baekfM ,ptie 4
r
Connection Charge Paid I - Signed
Licensed Drain Layer
per IIto
Tax Collector (Sig) issued by Kol a# Jr,
T
Permit Fee: Paid $ 15000
O Numbe t >
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED-
}s May
J�z, e• (Date)
(Sig)
Mel Ztead Jr. INSPECTOR
t'
N
c . �
R
o �
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 2 7 S—
OWNER
TYPE OF WORK Seui-erc- G.o,v,57 7
DATE PERMIT PIPE
INSTALLER
INSPECTOR f DRAWN BY I..e-