HomeMy WebLinkAboutDrain Layers Permit 2749 Ellington Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut j./
List.No.: _
DRAIN LAYER'S PERMIT NO 1487
19 �
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 7-4 �II
on the
side, between
at premises owned by A 1 1/( r k�/
whose address isQ!l��
and to LZLay House Drain, Repair House Drain, Lay Main, Other
for r if Sz J'j-eh4 j` occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ,, INDUSTRIAL WAS ), OR ( )
Connection will be made with 61, (. ���
Permit to be issued to > I-x W Shi esusK1
the holder of Drain Layeris License No. Permit will expire on 19
The undersigned Drain L4yer 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
Signed
A�kt,,4�.RA"01
Connection Charge Paid 3 Licensed Drain Layer
r
Issued by
Tax Collector 10,
Oro
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR
(Sig)
v
N
i
22
2 '
7
►
L{5° Down—
L.a�era I
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -6 (�
OWNER Alvin- Myr h
TYPE OF WORKS ConnEc}iv✓1
DATE'a-2 -'I?PERMIT N PIPE ,
INSTALLER
INSPECTOR a.T. DRAWN BY Cj:�-