HomeMy WebLinkAboutDrain Layers Permit 310 Diane Drive TOWN OF SNP Th WINDSOR
«. DEPARTMENT OF POLLUTION CONTROL
�►t South Windsor, Connecticut
YA ..$ S-6M52
DRAIN LAYER' S PERMIT N? 215
, 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 340 Vim* v* (lot ) on the
side,ftariM an an " of eireloo
at premises owned by "z Skftaeak
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for 24MU tU&I occupancy or use,
with on* W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with ni (6") gas ie jdVe
Permit to be issued to J9 A* ZOMMA
the holder of Drain Layer's License No. W9-M6188Permit will expire on 22 JU2Y 19
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 "P t 9W, t ftU Wtie
Signed
Connection Charge Paid It 050.15-73 ", Licensed Drain Layer
` -(Sig) issued by
Tax Collector
Permit Fee: Paid $ 1.5
INSPECTION: Meek rt i0
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FINAL � e f- (Sig)
APPROVED (Date)
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