HomeMy WebLinkAboutDrain Layers Permit 60 Lewis Drive �►��_ TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL 2
B/P No.: 5—�-
South Windsor, Connecticut
List No.: _
DRAIN LAYER' S PERMIT N? 873
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 9) on the
"lOr i; side, between-
at premises owne `.f' '•`ti r C
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
A
for Z'�'13.LQ occupancy or use,
with 02:t ( ) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (t{ ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with mix—in(.•h� c -)i ne to n I ritn nl ' ,,,m r
to j+1" t t;'
C r �� <? FE CiC'.7 .I Of
Permit to be issued to .6'w ari.iebsla
the holder of Drain Layer's License No. J— '•� ,`��� Permit will expire onP' 19 11";
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 }ti—? Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL o6/2 1115 (Sig)
APPROVED P3 Lne, 1975 (Date)
1:• lino t 1.J 'l i and (Sig)
INSPECTOR
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION c� LDS. c ► i
OWNER
TYPE OF WORK
DATE ' Y PERMIT r__ PIPE^i>cs n c
INSTALLER t`
INSPECTOR - DRAWN BY 44 7-'