HomeMy WebLinkAboutDrain Layers Permit 81 Norman Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
" South Windsor, Connecticut B/P No.:
List No.: S—F,.�e,
DRAIN LAYER'S PERMIT N? 679
Oct. 12, 19'/4 119
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at _ ;' f ;'�>rrr,�r� i.ri vn (L 74) on the
side, between
at premises owned by_ L. linllgind
whose address is '",mae
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for riGsi donti n1 occupancy or use,
with one Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( X), INDUSTRIAL WASTES ( ), OR
Connection will be made with "ix InC11 A"1F itiC 1:1T?e
Permit to be issued to Vito Coverirky
the holder of Drain Layer's License No. d-9205924 Permit will expire on 1?/12/74 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 612 Licensed Drain Layer
10/11/V1 Issued by Frnrik J. '`rlit?i
Tax Collector
Permit Fee: Paid $ ' p0
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
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N
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J
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER Mobud
TYPE OF WORK.
DATE of PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY
6