HomeMy WebLinkAboutDrain Layers Permit 20 Imperial Drive (2) -rsI ���
'`--tOW4 OF SOUTH WI N DSOR y
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
�p Zdat No.a 8-60132
DRAIN LAYERS PERMITO 187
a-1l at 119--23,-
Pursuant to written app ication, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at r�. WSOC L-o'T5) on the
aside, between
at premises owned by cre
whose address is tilr�
and to —X_-Lay House Drain, Repair House Drain, Lay Main, Other
for _tlies►tiirl occupancy or use,
with me 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
_SANITARY SEWAGE.) INDUSTRIAL WASTES, OR
Connection will be made with POV.C.
4-
Permit to be issued to1693N A F. 2W r- d�/�s/�„ NeV& P 42-
the holder of Drain Layer's License No.• M't2 Permit will expire on ag J U 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit d the reverse side
thereof. Applicant has received Town.Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS In &aor to —mom red bA*tJ11 satin tuke
Signed f} r,
Connection Charge Paic r L- ense rain Laye
P" so mods (Sig) Issued by M yls vds-. Jr-
Tax Collector
Permit Fee: Paid S
INSPECTION: Gi •�••M•»r....w
INITIAL,,IL— (Sig)
FINAL A (Sig)
APPROVED �� �( � t� (Date)
(Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawixg xot to Beale. LOCATION 20 Imperial Drive
OWNER Paul C. Tem letox
TYPE OF WORK Sewer Coaxeetiox
DATE 0 -11-73 PERMIT 187 PIPE6" Plant.
INSTALLER Pkalix W9-20 912
INSPECTOR ME DRAWN BY ME