HomeMy WebLinkAboutDrain Layers Permit 132 Laurel Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POL&I-ITIOR CONTROL
South Windsor, Connecticut �— / 2j c/
DRAIN LAYER'S PERMIT N? 425
-septa 21 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1 J2 Laurel St. on the
mouth side, between Oak & W04011txnd St.
at premises owned by Donald Clerk*
whose address is ame
and to X Lay House Drain, Repair House Drain, Lay Main Other
for residential
occupancy or use,
with ONE Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with six Inch (6) V.C.P.
Permit to be issued to Adam Wisnewski
the holder of Drain Layer's License No. w9-206559 Permit will expire on Noe. 21 1q3
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 Drain layer to pump t crush end baekfill septic tank
Signed � jf
Connection Charge Paid $09-19-?3 Licensed Drain Layer
Per. E. Moaia Ralph
A. Starkwe ather Jr.
Tax Collector (Sig) Issued by
Permit Fee: Paid $.15.00
INSPECTION:
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INITIAL 1� (Sig)
FINAL `" (Sig)
APPROVED G `! i Z S' (Date)
�. (Sig)
INSPECTOR
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