HomeMy WebLinkAboutDrain Layers Permit 791 Ellington Road (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
of
DRAIN LAYER'S PERMIT NO 1 3
•
as 1168"h 19
Pursuant to written application, permission is.hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
A side, ! At 3- *0 ' V'*
at premises owned by_
whose address is
and to _Lay House Drain, Repair House Drain, Lay Main, Other
fort .
occupancy or use,
with ffte W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with M idadis
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 19 73 .
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
F
Signed
Connection Charge Paid` Licensed Drain Lay
Si issued_ ✓r'�Jft
( g) �1' r ,r
Tax Collector
Permit Fee: Paid $_ s
INSPECTION: Cho* Ie`s
INITIAL w (Sig)
FINAL '" (Sig)
APPROVED (Date)
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INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 791 Ellix tox Road
Clean-out is located four (4) feet OWNER Peter A. Mancini
straight out, measured from overhang. TYPE OF WORK Sewer Connection
DATE o3-a8-73 PERMIT 179 PIPE b" Plas.
INSTALLER Ves a (W -206 28)
INSPECTOR ME DRAWN BY ME