HomeMy WebLinkAboutDrain Layers Permit 381 Governors Highwa ' TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER'S PERMIT No 1454
�JULy 2(® , 19 '7p'
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at .-1 81 (�Oyey2'ND,P s 60'W y on the
side, between
at premises owned by C/4.fA0A— cozysz Assec, A=
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 �/84441�1
the holder of Drain Layer's License No. p /_10,:!� d d 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/Q f Licensed Drain Lay
Issued by - - -- - - - - - -
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: T 7?*- _
INITIAL (Sig)
FINAL (Sig)
APPROVED `—.2 T (Date)
- 6Z&�v�L�� (Sig)
INSPECTOR
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- -NOTES SOUTH WINDSOR POLLUTION CONTROL
Pipe-- (cp j �12 0/,, LOCATION �'oY�r�cat-'s 4i �-t�,_)a.
J OWNER Cca mcaf Cons-
TYPE OF WORK
DATE 7 —26—78 PERMIT lq5LI PIPE PYC
INSTALLER C nr i eo ;E 17' -77-
INSPECTOR G T DRAWN BY C.K.