HomeMy WebLinkAboutDrain Layers Permit 10 Glenwood Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYEWS PERMIT`
o 60Q
01
ursua t'to wti en applicatior, permission is'hereby granted to the Licensed Drain Layer named herein;to-perform
the work indicated below at K on the
_side,
at premises owned
whose address is llfiri _�
and to Lay House Drain, Repair House Drain, Lay Main, ..:.Other_ "t
for t� �uP3nc
or use
-
with. 61
Family.ZJnits, with;;.. acres.
Type of Sewage:robe connected;under this.permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTBS •(.° ), OR
'Connection will be,made with dmi �► �" i
Permit to be issued to6 low
the holder of Drain Layer' ;�fense No.. permit w�ll.espue on f 1,9
s,
The undersigned brain Layer hereby'agrees to all lie'terms"and.cotiditils`gt-forth on the permit and che�tedetse side
thereof. Applicant has received Town Permit No. and/or.CU 11. Permit No.
for street.egcavation. 3 .
SPECIAL CONDITIONS
_ FY
Connection Charge Paid" `,. ; erised 15ia int Lay4f
Tax Collector
s`ir �{y./y�'�' ,�*��� i+1.?�et�iitFereiy4.fit.}{��r.�a��iid•� ,._...,.._,_..�.. ;
•ate
INITIAL '. (Sig) _
:FINAL
APPROVED G;, (Date)
INSPECTOR
AL
N
t
J
3
ArsR s1
SOUTH WINDSOR POLLUTION CONTROL
LOCATION 1 ,9 z/-,vrnioo,p
OWNER ��Sri �ivr�✓l��l��
TYPE OF WORK
DATE PERMIT �Oo PIPE ,C
INSTALLER Si vrsT�,2
INSPECTOR S DRAWN BY �'