HomeMy WebLinkAboutDrain Layers Permit 1509 Ellington Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMIT NO 1413
44 Ate 2 a , 19 -25
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at _ 13d9 A'A /!V �� j844 on the
side, between
at premises owned el!!� '74 F; / Iz h
whose address is Ar
and to 3_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 ( j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to_ COVEEN DJUC�TiQ�/CT/6�
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
Tax Collector Issued by
Od
Permit Fee Paid $ .__
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED �n -OZ 4 7 (Date)
(Sig)
P TOR
N
:kX�st�G
St;/T•G T NT
NOTES �,,y , .� �ii1� ;^,�/ gz.t,r) SOUTH WINDSOR POLLUTION CONTROL
I)M l/A) LOCATION if f
OWNER s a- r r a
TYPE OF WORK vs-2 n ec
DATE -7T PERMIT PIPE 4 ''PVC,
INSTALLER �'. :: pC��l;-//,J J
INSPECTOR ' DRAWN BY a