HomeMy WebLinkAboutDrain Layers Permit 34 Imperial Drive 4
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
i
List No.a S-60130
DRAIN LAYER ' S PERMIT No 193
14 may 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 34 L"*r al Driyo on the
side, between D404ar stmet & dead
ateremises_owned_by '". 1 WAk11 4f#* Jr&
whose address is 4
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for roxid+stial occupancy or use,
with 040 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE), INDUSTRIAL WASTES, OR
Connection will be made with' (6#9 j7tIMati p.p
Permit to be issued to Harload F* Pkalin
the holder of Drain Layer's License No. W9-2";? . Permit will expire on 14 Ju2j 19 73
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 1.4sin *r t4 pwpt oruM *ad bavkfirL wepUa tom•
Signed
Connection Charge Paid 03-081-73 Licensed Drain Layer
Per 1`4 Mcmiz (Sig) Issued by FlelviA iAwarclat Jr.
Tax Collector
PLC y Paid $ '� .Cx�
INSPECTION:
INITIAL - (Sig)
FINAL '' � ,- .: f,. (Sig)
APPROVED x a (Date)
(Sig)
INSP£C
0
GL
n �
T� F
�ej
1
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NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 34 imperial ail Drive
OWNER F. Earl Wallace, Jr.
TYPE OF WORK Sewer Coxxectiox
DATE o5-14-73 PERMIT 193
PIPE6" Plast.
INSTALLER Phalix W9-20 912
INSPECTOR Hn DRAWN BY ME