HomeMy WebLinkAboutDrain Layers Permit 115 High Street H TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: E 60 ir14
DRAIN LAYER'S PERMIT 1011
1ZL/75 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Tot 64 C -trj 1I us- 1-14,4 on the
side, between
at premises owned b
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Residential
occupancy or use,
with n„e Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( X), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Six Inch Plastic Pipe
Permit to be issued to Ronald Iacobucci
the holder of Drain Layer's License No. W-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
Connection Charge Paid 11/6/75 Licensed Drain Layer
Tax Collector Issued by _ Frank J. Smith
Permit Fee: Paid $ I R-O)
INSPECTION: Check Number:_
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
SPECTOR
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