HomeMy WebLinkAboutDrain Layers Permit 2230 Ellington Road TOWN OF SOVT+i WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 3 y�
List.No.. _
DRAIN LAYER'S PERMIT Np 1400
/y114 y I ,9 119 �
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at Z Z 3a ' L�.�NG�'_� I �� on the
\Ale Sr side, between
at premises owned by F R ep
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for W1`it. occupancy or use,
with Family Units,with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (�PA INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 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. I
SPECIAL CONDITIONS- l�R� 1 (mil r� 0
-- i my -20- -78 j4 , Fe N D 1'0
I+ANfE SUE FICICAIT T,rrc.14 ,
cc
Signed
1—?.0
Connection Charge Paid J<I Licensed Drain�—L/aye -
-745 Issued by
.Tax Collector e
Permit Fee:. Paid $ _05�
INSPECTION: Check Number: f
INITIAL (Sig)
FINAL (Sig)
APPROVED (o '�Z D' (Date)
J4J� �G(/l�f�i (Sig)
INSPECTOR
N
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1
l NOTES
SOUTH WINDSOR POLLUTION CONTROL
LOCATION Z23o
Test rvic�- GJ�tG.� c�tS� ircrc OWNER F--Aeb Ltr
TYPE OF WORK 46 u56 Co Alt4CC T%0 A
DATE PERMIT D PIPE
INSTALLER GoJ EN G o M "r GT%or.�,
INSPECTOR T DRAWN BY