HomeMy WebLinkAboutDrain Layers Permit 189 Kelly Road (2) ----w._ - TOWN OF SOUTM *WI N DSOR
s `1 44
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 354
1
31 Jnhr , I92_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1" ROIU Bead l -17 72) on the
drtti side, between
at premises owned b 3*"0 Fill"
whose address is
and to = Lay House Drain, Repair House Drain, Lay Main, Other
for "Sidektiol occupancy or use,
with—"'* M Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with (6) PItAtie 3dP*
Permit to be issued to Fre"Iis R. Xu..,sna
the holder of Drain Layer's License No. 134 Permit will expire on 1 Oft* 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 Dftii le,*r to pups erW* =4 bxekftU sepUe task
Signed - ---
Connection Charge Paid $ *7-31-73 Licensed Drain Layer
For. Z. ftrAs Jlph A. Btox)nrO-W Jr.
(Sig) Issued by
Tax Collector
Permit Fee: Paid
INSPECTION: Cheek Naubor..4tgga,..,.,....+..
INITIAL (Sig)
FINAL (Sig)
APPROVED 421 A.A6mser ovis (Date)
(Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION / HF41-il. RIO
OWNER G D �ylll/O
TYPE OF WORK SEw 2 f e)04.
DATE€ 194ff- PERMIT PIPE
INSTALLER c
INSPECTOR J' DRAWN BY G�f