HomeMy WebLinkAboutDrain Layers Permit 54 Laurel Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
/ South Windsor, Connecticut B/P No.:
List No..
t DRAIN LAYER'S PERMIT No 1058
ss
6 7'
ry 4/7/76 ' 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named he to-perform
the work indicated below at - 54 Laurel S treet
on the
side, between
at premises owned by Viu + vt; t ,
whose address is
and to _)_Lay House Drain, Repair House Drain, - Lay Aiain, Other
for l�c"s1Cl.c"rittl '
occupancy or use,
with Ono occupancy
Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with Six IFtck: Plastic Pipe
Permit to be issued to SJincert- lespa
the holder of Drain Layer's License No. W-9 20F/ 528 Permit will expire on 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
Signed
Connection Charge Paid 950 Licensed
Prikrin L yet
l l
1{/6/r16 Issued by Frank J. S;nith
- Tax Collector
Permit Fee:. Paid $ _ 15.00
INSPECTION: Check Number: 2394
INITIAL _041Lo a (Sig)
FINAL (Sig)
o /L ?6
(Date)
/�•�inos-r,/s��«c11� (Sig) _.-- -- -- ------ - ----_
- --- -- - -- INSPECT^ OR
36
ply
0
�9
NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 54 Laurel S
OWNER MUNN Ro er H. & Beverly J.
TYPE OF WORK
DATE PERMIT 1058 PIPE 4" , 5,
INSTALLER Ves a (W -206 28)
INSPECTOR DRAWN BY