HomeMy WebLinkAboutDrain Layers Permit 105 High Street TOWN OF SOUTH WI N DSOR W
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _S 6-76-7
DRAIN LAYER'S PERMIT
0 943
_1 9 APtttEamhtar , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at lvS (Lot 6J High Street
on the
North side, between
at premises owned by
whose address is
and to X Lay House Drain, Repair House Drain, La Mi
Yan 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 .( ), OR ( )
Connection will be made with Gi x i nnh nl ar'ti_n np
Permit to be issued to Ronald Tanobuc
the holder of Drain Layer's License No.W9-207427 Permit will expire on Qetnheor 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 9/18/75 Licensed Drain Layer
856 Issued by M. Timntha Friend
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: _3ZL_
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
_ INSPECTOR (Sig)