HomeMy WebLinkAboutDrain Layers Permit 68 Mark Drive ' 07 .`
6
TOWN .OF SOUTH WI N DSOR
DEPARTMENT ,At= POLLtITION CONTROL : .
B/P No.: 7•g
SouthVindsor, Connecticut 6 G�
List.No.:
DRAIN LAYER'S PERMIT 966
"19-=
Pursuant to written applicatior, permission is hereb!y�granted to the Licensed Drain Layer named herein to perform
the work indicated',below at 1 AU& priv� Lc�T''17 on the
side., between
at premises-owned KOMy PAU2 W. 6 &►t1►1 �r
whose address ism
and to Lay House Drain, . Repair„.Hoe Drains Lay Main, Other ~
for oocupaney or use,
with bI1� �1' Family Units, with aces. y
Type of Sewage to.be connected under this permit:
SANITARY SEWAGE (` ), INDUSTRIAL WASTES .( ), OR ( ) r
Connection will be made with_IdXftWh f6"), pla�mMim- gd+ •to &1111taiml kum, asAft, 109-2-A
depth nt 6►.0� _
Permit to be issued to g '1Mq
the holder of Drain Layer's License No._-"960 Permitwill expire-on g4 bell 19�3�41
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the-permit an td eh 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 censed Drain Layer
Root Not $75 Issued by 1WVAA A ta"/a-Joe
Tax Collector X_
Permit Fee:. Paid $ '
.V�►7Ed �rJ L7t7e�/ INSPECTION:'. :Check Number: r
INITIAL f . f IL
o".66!. (Sig)
_FINAL
t +M
APPtROVED (Date)
�,• , (Sig)
ECTOR
A
l
N
4
4
Y'
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 48 M
TYPE OF WO
DATE/o 24 PERMIT PIPE& " ABS
INSTALLER 4wo mt
INSPECTOR DRAWN BY �.
IJ)k,aW,,A'4o4 rr- 740 S0,44 ,