HomeMy WebLinkAboutDrain Layers Permit 141 Oak Street TOWN OF .SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
�— South Windsor, Connecticut
DRAIN LAYER 'S PERMIT ND 412
P'-Pte 13 , I Y3
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 141 Oak Zt. C Lor 3.o
east on the
side, between WOodlAad & Laurel St.
at premises owned byBertr= Ibel,le
whose address is ease
and to X Lay House Drain, Repair House Drain La Main,
residential -Lay Other
for '
with one (1) occupancy or use,
Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGJ, INDUSTRIAL WASTES, OR
Connection will be made with IdX inCII (6) plastic i
Permit to be issued t A• I+euaBon
the holder of Drain Layer's License Now9-20618 Permit will expire o 13 Imo_
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 DriAn Uyer To PumPt erugh aad baekfill p tie tank
Connection Charge Paid 99-1'-73 Signed—
Licensed Drain Layer
Per 11i Molds
(Sig) Issued byP4LI.Ph A+ Starkweather Jr.
Tax Collector
Permit Fee: Paidr��
INSPECTION: 0h k i'`
INITIAL - (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTO
1
d O
y,
77
NO—ES SOUTH WINDSOR POLLUTION CONTROL
G� LOCATION /y/ - clad
OWNER QFRTR," ,LQ LLE
4 - 2 y S` TYPE OF WORK
DATE i PERMIT /2 PIPE ��9tJic
INSTALLER v
INSPECTOR 6ff DRAWN BY f