HomeMy WebLinkAboutDrain Layers Permit 155 Laurel Street TOWN OF SOUT1 WI N DSOR
DEPARTMENT OF *POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N? 427
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 155 Laurel St.
EYC111th side, between Woodland & oak on the
at premises owned by Jnhn Rr-�r7 hm.r
whose address is
and to X
Lay House Drain, Repair House Drain Lay Main,
Other
for renidentail
with 0Ae (9) Family Units, with occupancy or use,
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGI, INDUSTRIAL WASTES, OR
Connection will be made withX �LtG {Ei) Ts r,gtic gins.
Permit to be issued to John A .mrr�r,
the holder of Drain Layer's License N
Permit expire on 24
The undersigned Drain Layer hereby agrees to all the terms and conditions set lfor h on the perm and the reverse 115e
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS Drain J&yer to um crush sad b ckf 11 ee tic tame
Connection Charge Paid Signed
g �Ogn'I�`�� Licensed Drain Layer
Per* 1-:• T•blliz
Tax Collector (Sig) Issued by i,�,�l#Ls� r} t ..�R..� T,.
Permit Fee: Paid 15QQ
INSPECTION: Check W
INITIAL V e =��Y (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR` (Sig)
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NO SOUTH WINDSOR POLLUTION CONTROL
�� LOCATION /s s_ �_s;. 1
OWNER
TYPE OF WORK
DATE 1" / ERMIT '. '% PIPE 7
C ? % INSTALLER
INSPECTOR (VS-, -DRAWN BYZ �,