HomeMy WebLinkAboutDrain Layers Permit 305 Diane Drive TOWN OF . SOUTH DWI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Si. y List No.t 8 164
DRAIN LAYER'S PERMIT N? 232
b/440 29 Riv 19 `
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at30 VUm* DKye (lot ) on the
1*41doy ftnt side, bXj= of Mow Ariwwe and Brwt A420 .
at premises owned by 1p d Am XMISAUL
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with on 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with x—i"k (6") yUsUe piles
Permit to be issued to Jo As Uwam
the holder of Drain Layer's License No. W9.2*6188 Permit will expire on 29 e$UJJ 19 `3.
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-_ ' to pmps a b&*fiU soptie t4u**
3,. ..
Signed E
Connection Charge Paid X 18-73 Licensed Drain Layer
T+ (Sig) Issued by Koly Ideas Jr.
Tax Collector C
Permit Fee: Paid $.15,00
INSPECTION: Cheek Numbort
+ +
INITIAL (Sig)
FINAL (Sig)
APPROVED 30 Mays 9973 (Date)
11 olvi31 Ca 8Uad 0 J � - (Sig)
' r' -INSPEC O !
aREN7- R0
N
7s ' �
z
(� a
V �
N
� ao
s�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION JO 5— Dx ute
OWNER
TYPE OF WORK
DATE a PERMIT PIPE 71
INSTALLER 0-Q 4, 1 LaAl 56 ,,/
INSPECTOR ` Y `