HomeMy WebLinkAboutDrain Layers Permit 209 Oak Street .T,OWN OF -SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Ss l Zi'�l i •t.A a!� 4
DRAIN LAYER'S PERMIT
0 319
as -011-dWit ' l g--"-
Pursuant to written appliYlation, permission is lereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at
on the
side
at premises owned by
whose address
and to Lay House Drain, Repair House Drain, La Main, Other
for �..� '
occupancy or use,
with Family Units, with
acres.
Type of Sewage to be connected under this permit:
C SANITARY SEWAG4, INDUSTRIAL WASTES, OR
Connection will be made with 013L-A h 1'A*1 l 1--&A- lr
Permit to be issued to
the holder of Drain Layer's License No.- %m Permit will expire on
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the perm, an t,�se�reverse s9d�''
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Un r=
PCs
Signed
Connection Charge Paic " ..7
Licen ed Drain Layer
# � (Sig) Issued by
Tax Collector Y • ��
Permit Fee: Paid $ iAA
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED '�,� �`t' ,+ j t7 (Date)
r (Sig)
INSPECTORS
N
6
NOTES SOUTH WINDSOR POLLUTION CONTROL
��.PLE Ace rr LOCATION zoo `)Pt� -
OWNER e � c e ,
TYPE OF WORK .co l
DATE o-j- -2v--13 PERMIT ; ~PIPE 7 P7,7
INSTALLER
INSPECTOR DRAWN BY -.��._.