HomeMy WebLinkAboutDrain Layers Permit 74 Laurel Street (2) 13" # w
TOWN OF SOUTH WINDSOR
¢�V 74o 1„ I?W4r0/ DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
77 DRAIN LAYER'S PERMIT List No.: 8-60146NO 219
` , 23to , 19 73
P nt to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indic d below at 24 Lgure7 t'tree (jot ;4) on the
- sami side, er rgar mi` La! irsl tr"t and R1=h EbM
at premises owned or
whose address is fie,
and to _ Lay House Drain, Repair House Drain Lay Main Other
for maidexLial occupancy or use,
with 0&* 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with #d x-4■ch (6") vies i s pj p&
Permit to be issued to Hiltrlmd F. PW4z
the holder of Drain Layer's License No. wg-206912 . Permit will expire on 23 Jules 19-23.
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 MM, orw+ aud am" Mtie tm&,
r
Signed
Connection Charge Paid 0-5-21-73 Licensed Drain Layer
For Be Mosis (Sig) issued by HOIT1.11 FAIWards, Jrg
Tax Collector
Permit Fee: Paid $ 15*00
Ckeek Nuifbers e
INSPECTION:
INITIA "�� (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INS OR
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