HomeMy WebLinkAboutDrain Layers Permit 996 Main Street TAD �N==4F---SOU-A=--WI-NDSO
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut z
List.No.: _t212—�
DRAIN LAYER'S PERMIT -
N° 1846
19�g
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at / 96, on the
side, between
at premises owned b
whose address is
and to may House Drain, Repair House Drain, Lay-Main, _!Other
form occupancy or use,
with 4 Y( Family Units, with acres.
Type of Sewage to be corm ed under this permit:_�/ ��„�� �
SANITARY SEWAGE ( _ DUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to 1,6�,S8 h /n S J -
the holder of Drain Layer's License No. ���'2y�, Lb
� 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
80 /06 Signe
Connection Charge Paid �(�. F cen �dral Layer
�a
- -T-�.. .1 AZT Issued by 0,04
Tax Collector
/7-7 Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
01
- - (Sig)
AP�ECTOO�
r
N
d
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK " 57 777 77 r,,;�t/'
DATE PERMIT ! PIPE ;
INSTALLER 5,, Z
INSPECTOR DRAWN BY