HomeMy WebLinkAboutDrain Layers Permit 49 Norma Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: _
South Windsor, Connecticut ( 3
List.No.: _
DRAIN LAYER'S PERMIT NO 1443
J Lea L-A 1(I , 19 '7c4
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Al
clezn a ep on the
side, between
at premises owned by �?a �� �d Ae � e Q0SA—
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main Other
for kQ';%DE/V' /14L occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (jQ, INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with _ el�,
Permit to be issued to fl��ar3 ��1 'dfi !
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 ,2 Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $ x
INSPECTION: Check Number: vi
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
'' (Sig)
INSPE-: OI
. .s
RoA D
N
HOUSE
T
2z�
G
WYE
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 49 INJORMA ROAD
OWNER SEPH -LA De ROSA
TYPE OF WORK HOUSE CONNECTION
DATE 19 78 PERMIT PIPE
INSTALLER E G.
INSPECTOR G.TUREK DRAWN BY TLAPPEN