HomeMy WebLinkAboutDrain Layers Permit 2759 Ellington Road TOWN OF . SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 2
List No.:
DRAIN LAYER' S PERMIT NO 1491
fTl(�G(S� ref l9 78 —
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at z.7J�9 --cu//n'tton,, /gyp aLL on the
side, between ii n�,
at premises owned by— 1/1 aim_e �` 1 y-
whose address is
and to X Lay House Drain, Repaii House Drain, Lay Main, Other
for RE /0 j5I IT A- occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (Y. INDUSTRIAL WASTES .( ),.OR ( )
Connection will be made with pV
Permit to,be issued to t"-0 ZEN ea65T;
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.
SPECIAL CONDITIONS
Signed
Connection Charge Paid Licensed Drain Layer
8_2 Z-? Issued by
Tax Collector
Permit Fee Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED -Zq-It' (Date)
IN PECTOR (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Z759 -'-Ill'nq tors Roa
OWNER i iQ►� C/; �Orc�
TYPE OF WORK vv Conhecf i
DATE cf-29--70 PERMIT el PIPE 6`1fil r—
INSTALLER CovCAI e OAIS T.
INSPECTOR 7DRAWN BY