HomeMy WebLinkAboutDrain Layers Permit 130 Hillside Drive _ TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut �, �.
List No.: � 4
DRAIN LAYER'S PERMIT NO 1969
(1 19_ i
Pursuant to written applicatior, permission its hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 130 S,Lv on the
side, between
at premises owned b � qr
whose address is €' -
{
and to - �_Lay House Drain, Repair_HoApe,p to La ain,_ Other
_
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES ( ), OR
Connection will be made with
Permit to be issued to
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
Signed :G' •_
Connection Charge Paid DD• ® ' icenset Layer
Issued by
Tax Collector Of �d
Permit Fee: Paid $ /
INSPECTION: Check Number: 3?,3
INITIAL r (Sig) �//'//S lr-*1G v' •2—�
FINAL a (Sig) �+
APPROVED Gl -- ' (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ►3 v // //s D r;v-�
OWNER
,24
TYPE OF WORK hNs1a 1
DATE I -sr-$o PERMIT /56,7 PIPE G" Pvc
INSTALLER P,u;r
INSPECTOR T>L-- DRAVN BY ,l�L