HomeMy WebLinkAboutDrain Layers Permit 125 Oak Street �-'�"----� TOWN OF-w .NTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
---- --- South Windsor, Connecticut
DRAIN LAYER'S PERMIT NO 400
apt. 4 1 9n-
Pursuaht to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 125 Oak St (LoT 3Z) on the
north side, between 4ure dogwod—
at premises owned
whose address is 8=e
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for residential
occupancy or use,
with one 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGJ, INDUSTRIAL WASTES, OR
Connection will be made with Six FMah . IpAt e pipe
Permit to be issued to Jotm Lmson
the holder of Drain Layer's License NoWQ=206188 Permit will expire o 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on t L*ti t and the reverse sZ—
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS DraiR 2ayer to pt=p, cru$h and baekflll septic tack
Signed
Connection Charge Paid $08-17-73 Licensed Drain Layer
Per. E. Moniy (Sig) Issued by Ralph A Ste
Tax Collector —�—' ' eta
Permit Fee: Paid $1e00
INSPECTION: ChockI 20
,r
INITIAL (Sig)
FINAL _ter! ' (Sig)
APPROVED (Date)
-r
(Sig)
yPCTOR
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1
NOTESSOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE c,3- 0 7-1 PERMIT /C? o PIPE
INSTALLER
INSPECTOR DRAWN BY ��'