HomeMy WebLinkAboutDrain Layers Permit 107 Murielle Drive TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut / /j/f
List No.: C�1�
DRAIN LAYER'S PERMIT NO 1297
Pursuant to written applica 'or, permission is here y granted t the Licensed Drain Layer named herein to"perform
the work . dicate below at I on the
side, between
at premises owned by
whose address is
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 ( , INDUSTRIAL WAS ), 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
/ Signed
Connection Charge Paid / Lic d Drain Layer
+ 7 7 Issued by
Tax Collector tt
Permit Fee Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED -- (Date)
«- (Sig)
INSPECTOR
(IN
o 17
#167 lyorl ,&, 4r
NOTES SOUTH WIND OR POLLUTION CONTROL
LOCATION /7 16
OWNER :,.a > ,
TYPE OF WORK Cgan,
DATE - C PERMIT / PIPE
INSTALLER
INSPECTOR DRAWN BY
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . .?. /�- `�._ . . . . . .
The Sanitary Sewer .x. . . Septic System P Y . . . . . . . . . .
at - . 1P7 0/ -- ,
/ . . . . . . . . . . . . . . .
or lot #. . .�/;7.
has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted d Approved
B I P
By � ..�A "_"? �`a ��/� Date ,• �`