HomeMy WebLinkAboutDrain Layers Permit 14 Norton Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT OF PO,LLUTigN CONTROL gip No.: 31_ '
South Windsor, Connecticut
List No.: 9-60 4`,S`
DRAIN LAYER'S PERMIT NO 528
hsere" ?5 , 19 A
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 14 Nsortu rta C L 4) on the
askrt side, between_ 3CeJ e1 Y,,,< I:10.
at premises owned by %+11 eP I, r,t,`i n
whose address is £;"o
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for resicefiti..l
occupancy or use,
with 0110 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 it cl-- (E+) .-J.asti c 'i vie
Permit to be issued to •7C3.': 1 ± ..o ±
the holder of Drain Layer's License No.W9--2'G01i", Permit will expire on 3 Py 25 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 (���� �; ;� Licensed Drain Layer
i O At t7. r:+
Issued by _ '� �',• �r�t.,e:�t er Jr,/
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL �'J 4/11 �7y (Sig)
i ,�. � (
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
A
A
1
r
I
1
t�
i
N
i
i
l
�RD,J
3
ETA
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION IZI /4OR I2r/ Lam,
OWNER ovz4,6,v
TYPE OF WORK
DATE y PERMIT PIPE
INSTALLER Zzq
INSPECTOR Lam'} DRAWN BY �'�