HomeMy WebLinkAboutDrain Layers Permit 37 Laurel Street (2) TOWN OF SM /I N DSOR
DEPARTMENT Of POLLUTION CONTROL
South Windsor, Cgnnecticut
t7 DRAIN LAYER'S PERMIT Liam Ito.: 8-60i6oNp 227
r , 19— 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 37 UNIV1 Street
on the
vealae side, between 903 and Wppaj" priVe
at premises owned by Ss�r ■ Y. C11a�hir7s•i+.
address is �V
and to x Lay House Drain, Repair House Drain, Lay Main, Other
for readdNtiat '
occupancy or use,
with �� �1j Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with SIX-iaulk (6") WIVent
Permit to be issued to Url"d To phalls
the holder of Drain Layer's License No. w9- 6912 Permit will expire on any 19 The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse sid
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS 1)29" ZVO' to ja1111p9 eruA and badTrfM septie ���•
401rwt Joint required duo to Farc►x ail* to wen*
Signed—
Connection Charge Paid 05-21-23 -Licensed Drain Layer
Per s• tleaiii ,
Tax Collector (Sig) issued by tleIvi>t Ndttlyds, Jr.
Permit Fee: Paid $ 15.00
tTWwk Nuobert
INSPECTION:
INITIAL" (Sig)
FINAL �i+"" (Sig)
APPROVED P 1 (Date)
•
INSPECTOR (Sig)
.. .. .�
.�. __ . o. _.__r
{f?
I
_ __ i
n/! �i
`I n