HomeMy WebLinkAboutDrain Layers Permit 44 Imperial Drive TOWN OF SP.UTH I N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: �...•
South Windsor, Connecticut
List No.: `���•-
DRAIN LAYER'S PERMIT N? 535
_ AsIril 16 19 —
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at i1,,1A 11.' (Lc.T,&)
on the
40mat side, between Tiff 1100$3LIt rt«
at premises owned by
whose address is Mee
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for 1+'0*1.1,natinl occupancy or use,
with ome Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made with SIX M) iNdAk VIAW16;4 'LIW
Permit to be issued to J. 0. Haters
the holder of Drain Layer's License No. kl9--,2%715'V . Permit will expire on J�u�m if 19 74
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 Petal t4%k* Wif4t b0' tV44hT0 a%f brZe't-M104
Connection Charge Paid Licensed Drain Layer
Per. N* Kli&iA Issued by talvk stivL:WatTavra re
Tax Collector
Permit Fee: Paid $ _15.
00
INSPECTION: Check Number:
f
INITIAL/-�t�_ `1'� � (Sig)
FINAL f (Sig)
APPROVED P� . i c";j ' (Date)
(Sig)
INSPECTOR /
i
t
W
f ♦'
'n\I
s 1 YL
�� 21
40
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 1- r L
OWNER ,Q
TYPE OF WORK
DATE PERMIT PIPE K
INSTALLER' , /2/
INSPECTOR DRAWN BY iE'S