HomeMy WebLinkAboutDrain Layers Permit 229 Oak Street TOWN OF SOUTH WI N DSOR
DEPARTMEN"s OF SOLL1l;TION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 432
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at a7q Onk `41c'r 7A on the
�,.,,x,� ,}lside, between nr 'aGo it r,ncl F. ,pngWOOCI
at premises owned b V,L =t1 VOawary
whose address is
and to _X Lay House Drain, Repair House Drain, Lay Main Other
for i=„fzi dent;a,
occupancy or use,
with one. (I) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with nix -i m-h (6) plastic pipe
Permit to be issued to ACIAM
the holder of Drain Layer's License No. W9-2rg",55Q Permit will expire on N M. 24 19 .
The undersigned Drain Layer hereby agrees e to all t terms and conditions set forth on the permit an theme side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS_ tDri s n 1 nycr tn 3 lmp-, crush rnd bnckfi l 1 c Dli c3 tank
Signed
Connection Charge Paid $ flcl_ll, :L Licensed Drain Layer
Por. '. 'icon j� (Sig) Issued by Ralph :!_ a .,-2rkwe rthar Jr
Tax Collector
Permit Fee: Paid $ 45 o„
,,T
INSPECTION: Check W Y�� � /
INITIAL G'/ (Sig)
FINAL (Sig)
APPROVED / 1 - _ f (Date)
(Sig)
INSPECTOR
V
a
79 �
NOES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -22q >� ,5-
OWNER ,0 r-r--tiwW
TYPE OF WORK
DATE -r2?- PERMIT Z PIPE S
INSTALLER - ,d
INSPECTOR DRAWN BYs