HomeMy WebLinkAboutDrain Layers Permit 183 Northview Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT' OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 20
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at !(fig "swqrew + �. 30� on the
eeltyld k iw w 1,,
side,
at premises owned by s3E�/R ! •+�r7M
whose address is / 8.3 .A�as s+a a��t � 3stAs*
and to If Lay House Drain Repair House Drain, Lay Main Other
for &tS-iIh4*,j T 4A"
occupancy or use,
with eggs Co) Family Units, with acres.
Type of Sewage to be connected under this permit:
ITARY _
AN SEWA INDUSTRIAL WASTES, OR
/i �
Connection will be made with T3� 100,00,
Permit to be issued to St'a-PA ro,
the holder of Drain Layer's License No. »-3srjr4' s!P' Permit will expire on2o 19
69.
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 $ Licensed Drain Layer
(Sig) issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: 0#*VK 40. A
INITIAL (Sig)
FINAL (Sig)
APPROVED 10 #tro,6& e4b (Date)
Ail
?efsu +�'el '1K (Sig)
INSPECTOR
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f"U Si K",
For yom:, CoxVenfence, tho "'lower
Town of SoUth WIEWSO.r convection of tjlvr
belcm-deacribed i'voperty to the r4ewqr zyxa'em prk,(C�t j..,Ot
of, charges.)
This to now compteted ond and
connection are, -
nlar
sdiown belaw., i! '; ,i awouxit an
April
If you havi any
Utt•exulent of 0 r, n,-pavtiwtnL of
or
Nvaber of Unftv, lies de a,tic t)
Number of Acran (Other tr1jaAl
TQVN Of,
183 Northview Drive
Same
Same ------
51
63 V 107
,
113 618
A 20
Residential
1 14
A.:
02 g
8.50 705 08
00.00
905 .08
r.
4-
400.00
- 400.00