HomeMy WebLinkAboutDrain Layers Permit 61 Kelly Road (2) TOWN OF '.coOJJTH WI N DSOR
DEPARTMENT Oe' POLLUTION CONTROL
� South Windsor, Connecticut
-s a57''i5o'0 0 0 6
DRAIN LAYER' S PERMIT NO 388
Aug• 23 , 1973
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 61 Kelly Rd. (LdT 191 ? ) on the
south side, between Willow & Laurel, St•
at premises owned b
whose address is anmo
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for remidential occupancy or use,
withone (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with A.X inch (0 elastic pipe
Permit to be issued to JOha A• Lmson
the holder of Drain Layer's License NW.9-P06188 Permit will expire o z
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permi and the reverse Me
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drain layer to V=j),j carush and back fill fe i c- tan1-
Signed '
Connection Charge Paid $Ov-23-73 Licensed Drain Layer
Per. T:',. Moniz (Sig) Issued by R0k1V-1 A. 5tarkweather Jr.
Tax Collector
Permit Fee: Paid $ 15.00
Check h"
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED �� (Date)
(Sig)
INSPECTOR