HomeMy WebLinkAboutDrain Layers Permit 169 Kelly Road TOWN OF SOUTt .WINDSOR
REPARTXENT OF 'POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT X? 329
_ 1.3 Jew► , 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at- 169 Fe'-I•y j, 5,M on the
awwh side, e#41"�1A3+ A�' �1I11 .1 11
at premises owned b
whose address is R
f and to Lay House Drain, Repair House Drain, Lay Main, Other
for ='�1i�drl�}t'�'Ls'�3. occupancy or use,
with on* cli Family Units, with acres.
Type of Sewage to be connected under this permit:
jSANITARY SEWAGE INDUSTRIAL WASTES', OR
Connection will be made with
r
Permit to be issued to—
the A* Zokiw
the holder ofDrain Layer's License No. Permit will expire on sepumby 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- Draft Liver to .`airy .o badct= 4"t-4 0
Signed
Connection Charge Paid 5 g y Licensed Dtain Layer '
(Sig) Issued by � r R►�'s
Tax Collector
Permit Fee: Paid $
!r> ►
- INSPECTION:
INITIAL 1 (Sig)
FINAL (Sig)
APPROVED I&�in:,at A 4 l (Date)
* fa
� - - -
INSPECTOR