HomeMy WebLinkAboutDrain Layers Permit 137 Laurel Street TOWN OF r SOUTH WI N DSOR
/t 'beep DEPARTMENT OF POLLUTION CONTROL
i South Windsor, Connecticut
7'¢ 4$ �. i bT S ���a O �>�3
DRAIN LAYER 'S PERMIT Np 348
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ 'f Z�trri aft (Lt ��
on the
side, between
at premises owned by
w - -and to x Lay House Drain, Repair House Drain,
Lay Main, Other
for mu"
occupancy or use,
with Off! W Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAJ, INDUSTRIAL WASTES, OR
Connection will be made with `�� �/. �, P.
Permit to be issued to ♦Ar W4. ggg*
the holder of Drain Layer's License No. Permit will expire on
19,
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pie mi t n reverse side
thereof. Applicant has received Town Permit No.
and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS_ ni'a" Idw4w to mps emmma M bal�Ku . k•
AfZ-�4tic—,nedoDra—i,--L—ay�er
Connection Charge Paid Signed
$ ,. ..
.
Tax Collector (Sig) Issued by � ��.�
Permit Fee: Paid $13loN
INSPECTION: ok** Irlt=t
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
4
�r 5
0
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION J] n .,.lF-. SILL-,
OWNER
TYPE OF WORK
DATE PERMIT PIPE 6" v c
INSTALLER ,A� ,,rry.. r
INSPECTOR --- DRAWN BY