HomeMy WebLinkAboutDrain Layers Permit 271 Oak Street TOWN OF - SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
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DRAIN LAYER'S PERMIT N? 345
,25 Jul'rr—' I9- 3
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 111 Oak St"et (LOt 71) on the
�iutlsde, between prjove Md LNUX4 . $t"et
at premises owned by Y�lii.r 11rt�iwslr, pipe
whose address is �
and tat` Lay House Drain, Repair House Drain, Lay Main, Other
for -SVOideatw
occupancy or use,
with 0" W Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGI, INDUSTRIAL WASTES, OR
Connection will be made with 0iZ—iWk ((p")
Permit to be issued to Yi..��...W
the holder of Drain Layer's License No. Y I Permit will expire on or 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 DxsLz Lgor 1111 pme sigma "d back= MUS upke
Signed ; y' �...[�•, ..-�...�,K...-f �.
Connection Charge PaidXS @2"A!"73 Licensed Drain Layer
P*lr X• I63ti= (Sig) Issued by X"T" ajakayt. drO
Tax Collector
Permit Fee: Paid $_ 1geM
INSPECTION: Ck~k x=berl
INITIAL (Sig)
FINAL (Sig)
APPROVED '2.5 Ju,.j �q7 (Date)
i
(Sig)
INSPECTOR'
N
m
4'oPc
NOTES SOUTH WINDSOR POLLUTION CONTROL
n"T a.,r,., ro S�A�c LOCATION 2'i t -OAK STa.-ter LoT Z t
OWNER W i t-L-i A M M�2 0 oo-ii J 2,
TYPE OF WORK �wE COaaF�T�o,�
DATE o -2-s- l PERMIT 34S PIPE
INSTALLER A w ,ems sg
INSPECTOR R-- DRAWN BY A—