HomeMy WebLinkAboutDrain Layers Permit 45 High Street E. TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _
DRAIN LAYER'S PERMITS ^ 111
19
Pursuant to written app uatior, permissio is h teby red rt ;he Lic used Drain Layer named herein to perform
the work indicated low at 0 2 �J 71 on the
1-541�1 side between I e
at premises owned by /v Q� %Cd
rexf
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 (Y�, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No V 9 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 C
Connection Charge Paid Licensed Drain La r
Issued by
Tax Collector
476 4�;7 Permit Fee Paid $ _ O
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
,
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NO ZONING VIOLATIONS IF HOUSE 1
ERECTED AS SHOW?f' AND STAKED. {
I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- Z
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. 1�0� �gO��ECJ/
3 O
R & C BUILDERS INC .
a y,
' AL.P'017-L7 w
No. 21
CIVIL ENGINEERS �r°� ��`6fslt� ��ZZI,�
WINDSOR•CONNECTICUT
��'�►n�e[ fit.
JLOT 27 SIMIEW SOUTH WINDSOR CONN SCALE: I IN. = 40 FT. DATE: o r, fj 1976
r
1
2-7A�? _
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- TES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 7-
OWNER
TYPE OF WORK
DATE ff-7/3777 PERMIT PIPE �'
INSTALLER
-
INSPECTOR D WN BY �%'-
1�ivy
�g0, J t
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . . . . .
The Sanitary Sewer X . . . Septic System . . . . . . . . . .
.
or lot #. . . V. . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted Approved
441
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