HomeMy WebLinkAboutDrain Layers Permit 47 Imperial Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL �
. -- L—.
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT Na 592
43 , 1924
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at on the
= side, between
at premises owned b
r
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE F ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with fl*A f-4ja
Permit to be issued to VL=!0Wft
the holder of Drain Layer's License No. _:_Z 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 yl 14 Licensed Drain Layer
Issued by )+ �': S s; liw` 1i►
Tax Collector
Permit Fee: Paid $ _3-50*17Z _
INSPECTION: Check Number:
INITIAL r` ` f .r': (Sig)
FINAL s'f' r'� ' (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
y -
A
d�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION T AL
OWNER
TYPE OF WORK .Sc�w� �i1✓/.�,' ova
DATE ri ERMIT —� IPE _✓,'—,
INSTALLER z5 ,-�
INSPECTOR S DRAWN BY