HomeMy WebLinkAboutDrain Layers Permit 292 Kelly Road (2) .fi
- - TOWN OF SOUTH WI N DSOR
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DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
DRAIN LAYER'S PERMIT N9 603
J14. 22 , 19 _
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 2W "I1y iRd— on the
sett side, between Hiwaaig '� iRt�k >re
at premises owned b
whose address is
and to + _Lay House Drain, Repair House Drain, Lay Main, Other
for "bidentaol occupancy or use,
with tlii`! Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (,X), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with 8" lot a�+�.a.•
Permit to be issued to WaLtor A"jgp
the holder of Drain Layer's License No." Permit will expire on—AW14., 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 = �
Signea
Connection Charge Paid Licensed Drain Layer
Issued by ftlkoh A. %, :•F3,SiLkte,EEt3or Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL Fr< a J J (Sig)
FINAL (Sig)
APPROVED " A,1r / .� ;•' (Date)
-.'�r���� � � sg•=fC.,�.C='r /J (Sig)
INSPECTOR
N
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -.9 2 1(ELL d?A
OWNER -1 IMW i c
TYPE OF WORK ,S',Et-✓ L Tr lqL
DATE i PERMIT G CY PIPE jC V
INSTALLER W C L `✓v p
INSPECTOR .s' DRAWN BY ,J .