HomeMy WebLinkAboutDrain Layers Permit 476 Graham Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: _
" South Windsor, Connecticut $�o78S
� List.No.: _
DRAIN LAYER'S PERMIT 81
2
3/19/75 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 476 Graham Road on the
side, between
at premises owned by John Beek
whose address is Same
and to X Lay House Drain, Repair House Drain, Lay-Main, Other
for Residential
occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ),
P
Connection will be made with Six Inch Plastic ips
Permit to be issued to ®dam Wisni.T mki
the holder of Drain Layer's License No. W-9-206/539 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
f
Signed r�vw
Connection Charge Paid 3/19/75 Licensed Drain Layer
z 242 Issued by Frank J. Smith -
Tax Collector
Permit Fee: Paid $ 150
00
INSPECTION: Check Number:
INITIAL (Sig)
FINAL 0 lop/ (Sig)
APPROVED 21 7 (Date)
c (Sig)
CTOR
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76
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