HomeMy WebLinkAboutDrain Layers Permit 219 Oak Street T0W,N:. 1PF SOUTH WINDSOR
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# DEPARTMENT OF POLLUTION CONTROL
€ South Windsor, Connecticut `
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DRAIN LAYER' S PERMIT NO 31
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 212 fitr"t (lat 70 on the
- Ifflith side,
at premises owned by Ankmar & firdsum
whose address is rs"m
and to X Lay House Drain, Repair House Drain Lay Main, Other
for raid-dential occupancy or use,
with 03w (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with dd2r—ifv& (60) Div*
w
Permit to be issued to na®w8 1Kmd. „,.A
the holder of Drain Layer's License No. " " . Permit will expire on 18 lsnt &fir 19 r y
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 07-1?-73 Li nsed Drain Layer
ftr lifi��i gZ (Sig) issued by
Tax Collector
Permit Fee: Paid $3 �
INSPECTION: ft011k Numb1rt �,..,....�.,.
INITIAL (Sig)
FINAL (Sig)
APPROVED 19 1 A4..y 1973 (Date)
(Sig)
INSPECT
P'
N
ZI
-3
7
NOTES
SOUTH WINDSOR POLLUTION CONTROL
- LOCATION
Ntt oT D2A�[-i 70 $CAt� OWNER
Nr!-4oN C. SC gNl1A
TYPE OF WORK SEW 0-oj4g4 CT 2&%
DATE o - - 3 PERMIT PIPEg,"P As.
INSTALLER
INSPECTOR DRAWN BY �---