HomeMy WebLinkAboutDrain Layers Permit 8 Nutmeg Road (3) ' TOWN OF SOUTH a WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER ' S PERMIT ?4? 324
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at _( -. efttmW on the
side
at premises owned by Aw® abas ftat,N
whose address is "AA02=. "S Om*
and to 2 Lay House Drain, Repair House Drain, Lay Main Other
for 1611114y ' o, occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGI), INDUSTRIAL WASTES, OR
Connection will be made with TOGA,
Permit to be issued to 1161 adey*4
the holder of Drain Layer's License No. "Nue Permit will expire on l�� 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the ermi an the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS SWAM OVi� 1s%fte tank
Signed
Connection Charge Paid*07-j" Licensed Drain Layer
P*r 2r s (Sig) Issued by ftivu 46my"s APO
Tax Collector
Permit Fee: Paid $
INSPECTION: 9*60"
INITIAL (Sig)
FINAL !! (Sig)
APPROVED $,.o Ju.!j 19-0,3 (Date)
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_---7,l� �ZesA.i.a�.�•a.lve Y►. (Sig)
INSPECTOIK
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY