HomeMy WebLinkAboutDrain Layers Permit 16 Laurel Street 7 TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
/.isr S S- 4,01740
DRAIN LAYER'S PERMIT NO 321
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 16 LMZ*l S+Mt (Zat 21)
on the
east side, between_
at premises owned by
whose address is
and to XLay House Drain, Repair House Drain, Lay Main, Other
for All dau i&1
occupancy or use,
with one f9� Family Units, with
acres.
Type of Sewage to be connected under this permit:
( SANITARY SEWAGI), INDUSTRIAL WASTES, OR
Connection will be made with �w! r►9rt IAStio-id
pe
Permit to be issued to ffAp$,ftd Fo .i-*
the holder of Drain Layer's License No.__ '7 . Permit will expire one 19
The undersigned Drain Layer hereby agrees to all t e terms and conditions set forth on the perms an t e"r verse sid?
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS wb4u Iw�sr �, „r,,, �p,�'� ,�,� �w�.y _t •
Signed
Connection Charge Paid XC 6-18_/ Licensed Drain Layer
Pear (Sig) issued by
Tax Collector
Permit Fee: Paid $I!S.M
INSPECTION: NuibAr= �534
INITIAL '^ (Sig)
FINAL .■... (Sig)
APPROVED +►T (Date)
A WYt2 �. (Sig)
INSPECTOR
N
ci
gscl
22"
NOTESSOUTH WINDSOR POLLUTION CONTROL
r b�A WIV SCA 4- -; LOCATION u12A- _
OWNER 4,,17"o.v�
TYPE OF WORK 5--w
DATE 3 PERMIT 3 a PIPE
INSTALLER ((,,�y_ �6 -
INSPECTOR A-1£" DRAWN BY Z