HomeMy WebLinkAboutDrain Layers Permit 2814 Ellington Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut
List.No.: SO�
DRAIN LAYER'S PERMIT N? 1939
19
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
whose address is
and to Lay House Drain, Repair House Drain, Lay in, Other
for occupancy or use,
with / eL Family Units, with acres.
Type of Sewage to be nnected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES/(�
Connection will be made with Al OR
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.
SPECIAL CONDITIONS lzez zer—., V
I3 3�j�
/) Signed
ZZ,�1:4—
Connection Charge Paid a 0 1/ /,J,)Feensta lFrain Layer
- Issued by
Tax Collector
Permit Fee: Paid $ l __
INSPECTION: Check Number: 539`
INITIAL (Sig)
FINAL / (Sig)
APPROVED l (Date)
(Sig)
INSPECTOR
N
c
(3160,
7, 7
U4
NOTES D �'" S5 SOUTH WINDSOR POLLUTION NTROL
LOCATION ,- ►
f/7 OWNER - L 1
TYPE OF WORK
-DATE PERMIT PIPE
f''.✓f �*' INSTALLER
INSPECTOR DRAWN BY
'r
1/f2/7,9
NOTES t= SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
7 r
DATE :f'.`^ z� PERMIT PIPE
�� �� ` INSTALLER
INSPECTOR DRAWN BY
1
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY