HomeMy WebLinkAboutDrain Layers Permit 91 Murielle Drive s TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List No.: _
DRAIN LAYER'S PERMIT NO 1313
11977
Pursuant to written applic tior permissio - h re �4nted to the Li ohs d Drain a r named
/h_erei to perform
the work indicated below at C -�� Z.-
n the
side, between
at premises owned by
whose address is
and to Y—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 () 1i INDUS L W TES .( ), OR ( )
Connection will be made with— 7-r c
r
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
/ Signed )V0,11 A9
Connection Charge Paid 1 Ye �rense, rain Layer
/ —/I~ Issued by
Tax Collector )
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED —J" - 7 7 (Date)
(Sig)
INSPEC R
4120
# 9/
h
NOTES SOUTH WIND OR POLLUTION CONTROL
LOCATION 20 yar/
OWNER va , of '
TYPE OF W o G'o r7,
DATE - - 7 7 PERMIT 313' PIPE
INSTALLER t
INSPECTOR SC/-/ DRAWN BY �M
TOWN OF SOUTH WINDSO
TOWN HALL R
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer .
Septic System
at
. . ' . . ..�. . . . �:', . t��
or lot #. . . . . . . . . .
• . . • • • . has -been installed and c
in accordance with the T ompleted
own of South Windsor ordina
and regulations. nces
Accepted fad Approved
l Date i