HomeMy WebLinkAboutDrain Layers Permit 101 Murielle Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 2
List No.: ��
DRAIN LAYER'-S PERMIT NO 1314
19 � �
Pursuant to written applica �01
rmiss' is he b granted t the nsed�Dlrain Laye�named herein to perform
the work indicated below at �l- (��` r�i'V J��� ! on the
side, between
at premises owned by a 12e,
whose address is f
and to 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'`l, INDUSTRIAAS � j, OR
w p ( )
i G
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 U Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid r`p icensed Dr n ayer
Tax Collector Issued by `
Permit Fee:. Paid $ �V •�
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED t (Date)
He Ar e/!`,, (six)
INSPECT
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 1777,
OWNER e
TYPE OF WaKV �c Urne c'o i�r�
DATE -V- PERMIT -3,/V PIPE 777
INSTALLER -z e h
INSPECTOR 1"7_611Y DRAWN BY -C�,
1
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer . ./� . . .
Septic System . , .
at . .
�Q t
. . . . �l '��. . . ! E ;'
or lot # `(
has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepte and Approved
Date /