HomeMy WebLinkAboutDrain Layers Permit 2773 Ellington Road -� TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER"S PERMIT N? 1474
&Gr�LfS-� 192�
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at , on the
side, between
at premises owned by ka kT—Aarh I e_t--
whose address is _5dam er
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for /PE51P occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (x), INDUSTRIAL WASTES( ), OR ( )
Connection will be made with
Permit to be issued to J4VA/1 I
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 Ehe reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed a,.
Connection Charge Paid Licensed Drain Layer,
Issued by
Tax Collector �y
O�/v
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
SPECTOR
1
N
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5`1
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y '
-45°
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 'al'-13 EIh 4 Gtxxc
OWNER gnle �rnle_r
TYPE OF WORK
DATE 8 -7-78 PERMIT 1414 PIPE `' P. V,C
INSTALLER AcAarn Wfsniew-SY'i
INSPECTOR c,.T, DRAWN BY a-K