HomeMy WebLinkAboutDrain Layers Permit 69 High Ridge Road TOWN -OF SOUTH WINDSOR
DEPARTMENT OF POCLU*fION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT List No.: B-60251
N. 338
t3 Jul , 19_33
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 0 ft8k Aide ANA (lot 18) on the
side, between Animtlr held snA dlsolo-& jigr
at premises owned by_ �b��l= M�L•�!
whose address is �!
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for rosidealual
occupancy or use,
with Os! ��� jr -Family Units with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGI), INDUSTRIAL#WASTES, OR
Connection will be made with 11i]E••intti (6s)
Permit so be issued ru Nmtt
x
the holder of Drain Layer's License No. "T"6119 Permit will expire on�' 3 8lntl�blr 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. jr
SPECIAL CONDITIONS
Signed
Connection Charge Paid 0 19-73 Licensed Drain Layer
Per P. is (Sig) Issued by IIllai� !'dvard�� Jr.
Tax Collector ,,: `
Permit Fee: Paid $1y�N
INSPECTION: Ck*ok Na*tr:
INITIAL " (Sig)
FINAL (Sig)
APPROVED (Date)
Melvin Tdw�rrl:�_�Tr� (Sig)
INSPECTOR
i �
e e
t
f
NOTES SOUTH WINDSOR POLLUTION CONTROL
t qo LOCATION 9 e V f �,-
OWNER oa n. �1, I<A
TYPE OF WORK �EwcJL o , e r-i��1
DATE i-Zs--73 PERMIT 33 a PIPE
INSTALLER
INSPECTOR -- DRAWN BY