HomeMy WebLinkAboutDrain Layers Permit 27 Laurel Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
LjDRAIN LAYER 'S PERMIT 299
�q +
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ ?7 UUMA Strut (Lot 49)
on the
1N side, between Okiwpoamd ,
at premises owned byor
whose address is �*
and to XLay House Drain, Repair House Drain Lay Main, Other
for >
occupancy or use,
with me Family Units, with
acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with 91 f sh ON) r►lairt�0 iJ�,Yi► ��{
Permit to be issued to
the holder of Drain Layer's License No._ 1906,88 Permit will expire on Au _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__ Arkin Zd*POP t0 pMpg i1 Wd bmakfM septie e
/� as
Signed � �e-_
Connection Charge Paid Licensed Drain Layer-
POW
Z* Nokia (Sig) issued by F-01' IA, LdwaY4+10 Jr*
Tax Collector
Permit Fee: Paid $ !!3*0*
INSPECTION:
INITIAL (Sig)
FINAL ii (Sig)
APPROVED $9 +�.�,.; ��3.� (Date)
(Sig)
j ' INSPECTOR
N
i
1
i
f
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -?-I
OWNER r?a b C,
TYPE OF WORK
DATE -1.� PERMIT - _ PIPE
INSTALLER 1. M _- 2-�"- 4;.
INSPECTOR DRAWN BY w