HomeMy WebLinkAboutDrain Layers Permit 1355 Ellington Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT ND 1808
, 19 7?
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at 3 �� �l/h 5/`te/e ti on the
side, betw[eeen
at premises owned �t— 6 W1 e ( 41k
whose address is
and to Lay House Drain, Repair House Drain, Lay`Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES OR ( )
Connection will be made with
Permit to be issued to 4VA /�S / e- -j.,r_5
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
NQS
Dnl e �'/�/'7� , / Signed
Connection CHarge Paid YCQ l) Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid
INSPECTION: Check ber:
- 77
INITIAL (Sig)
FINAL (Sig)
APPROVED 2Jl' (Date)
(Sig)
INSPEICTOR
W Y!
I t�
17 Cr
UN
r�0OT-+>°I �
1355
40,
i
i
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 135-5-
OWNER Hnrry Frokije,>-�,
TYPE OF WORK It i e,4 Frr i
DATE PERMIT 8'D - PIPE �' v
INSTALLER
INSPECTOR DRAWN BY Age