HomeMy WebLinkAboutDrain Layers Permit 3 Murray Road TOWN' OF SO TI
� _ W N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Lis.r � S- 6azi3
DRAIN LAYER'S PERMIT NO 287
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ./X:k,..�. :, c!. (Lc,T 12-4) on the
s
side, between
at premises owned by /n/rt4jcc--0 1A4r,.car/
whose address is
and to ' Lay House Drain, Repair House Drain, Lay Main, Other
for ¢ occupancy or use,
with 'L. Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE y INDUSTRIAL WASTES, OR
Connection will be made with 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
Connection Charge Paid # e_18-73 Licensed Drain Layef
P42 e (Sig) issued by
Tax Collector
Permit Fee: Paid $ r
INSPECTION: s
INITIAL (Sig)
FINAL (Sig)
APPROVED_?-?- Ja tj f; i 97 3 (Date)
M . C �IrIVA b J R (Sig)
11,;SPECTOR
N �
00
83�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 3 MAaa,a Zoi�
OWNER c
TYPE OF WORK Sawg& o�
DATE 6 2z 2 PERMIT a87 PIPE eg" `a
INSTALLER w9-
INSPECTOR S DRAWN BY tiICS