HomeMy WebLinkAboutDrain Layers Permit 121 Dogwood Lane TOWN --Of- SOUTH WI N DSOR
DEPARTMENT OF#' POLNTION CONTROL
South Windsor, Connecticut
6.6�: ww
Idst No.: S-6€147
DRAIN LAYER'S PERMIT NO 221
f 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1 1 Da d F (Lot 112) on the
aartk side, between & mad GuUn drive
at premises owned by E=X& A. Parlits, Jr.
whose address is e
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for identi*1 occupancy or use,
with 0*9 (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
{ SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with IdX— 20h (01) Plastill IQ&
Permit to be issued to P.R. Xuaza
the holder of Drain Layer's License No. Permit will expire on P$ y 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 W*r to MMj arqA axCi ' g*fM mWtie taake
Signed
Connection Charge Paid { 23�73 Licensed Drain Layer
1 (Sig) Issued by 1441YJA 3ftudes Jr.
Tax Collector
Permit Fee: Paid $. 15#00
Ck4wk Ks' rs 391k
INSPECTION:
INITIAL (Sig)
FINAL 1�, (Sig)
APPROVED 1973 (Date)
(Sig)
INSPECTOR
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