HomeMy WebLinkAboutDrain Layers Permit 40 Murielle Drive TOWN OF SOUTH WI N DSOR a
DEPARTMENT OF POLLUTION CONTROL B/P No.:
Li
South Windsor, Connecticut 2
st.No.: _ 7
DRAIN LAYER'S PERMIT Np 1238
19
Pursuant to written applic tior permi�ion is h/e�rreeby granted to the L* nsed Drain Layer paamfeedd herein to perform
the work indicated below at on the
side, betwee `,
at premises owned by N `r Q!/'Pi ,
whose address is �J�UGIf
and to SIZ Lay House Drain, Repair House Drain, Lay-Main, Other ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE `y, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. 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
Vj
Signed
Connection Charge Paid �+/� Li used Drai yer
Issued by
Tax Collector _
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
V
to .h
NOTES SOUTH WINDSOR POLLUZION CO ROL
LOCAT IO xDe—,
OWNER
TYPE OF WORK
DATE — PERMIT IPE
INSTALLER ze
INSPECTOR DRAWN BY
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . �-I,.�.7. . . . . . . .
The Sanitary" Sewer . . • • •
Septic System . . . . • .
at . . . . . . . . .
or lot
# . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted d pproved
Date 7-7
2 .-
By