HomeMy WebLinkAboutDrain Layers Permit 550 Graham Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL Bhp No.:
South Windsor, Connecticut
�773
List No.: _
DRAIN LAYER'S PERMIT Np 866
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at f.`m.%*rl .-! on the
side, between
at premises owned by Af1r U
whose address is '^
.and to Lay House Drain, Repair House Drain, Lay Main, Other
for e�*I A C'. at �
occupancy or use,
with— 9F Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with " �X Toot. 1,40U.3 vivo
Permit to be issued to V 06"120*1
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
x
Signed
Connection Charge Paid Licensed Drain Layer
644 5 Issued by VV"t;'
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: - � —
INITIAL (Sig)
FINAL (Sig)
APPROVED ` (pate)
INSPECTOR (Sig)
Y �"} Tki.' YjjTf
To hsIp locate your, sewer connection on the main Iine, please show'
Where you would like the connection by e- drawing a line fi^om the house or
-
a tank toa the main line in the street. Also, _€nstail stake in yard
to indicate, line,as shown,on sketch. IFyouu have any doubt please cont
the Town Engineering Department. act
Please dravrF irnpor^tant.tnFormat€on such as driveways Ia
and'o rthe obstructions rge trees
` b4' t fiF
FO 3 -
p€_EASEE'MAIC_THIS , x ,,
P.fVt II�1IVkED IATELY TC7 »' , =
JA V ES • M Ass
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The. Exchanges
5 Fa rrn
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Farmington,. Connecticut 06032
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