HomeMy WebLinkAboutDrain Layers Permit 232 Oak Street TOWN OF SOUTH WINDSOR
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DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
-si-60243
DRAIN LAYER' S PERMIT N? 363
b A06- 1 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 33:p omit at, �LaT P,4.1 on the
,-o..th, side, between_$IRMj & L41yrA ICte
at premises owned by Alf ad. ALyar
whose address is --
and to j_Lay House Drain, Repair House Drain, Lay Main, Other
for --d Attal occupancy or use,
with (+�� Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with mdx (6) task Y-C.A.
Permit to be issued to Aid" WI"44m
the holder of Drain Layer's License No. !ftn� . Permit will expire on a 0stg 1973
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 Driaa ltrer is pimp, srw* aad btek= soptis task
Signed
Connection Charge Paid $$S-92..73 Licensed Drain Layer
Psr. So Nods (Sig) Issued by R.7 rye 2ftsk"M A#r jr-
Tax Collector
Permit eer: Paid $ 1�eM
INSPECTION: 9f
INITIAL ) (Sig)
FINAL (Sig)
APPROVED r - ;7 1 -- "��? (Date)
� J (Sig)
INSPECTOR
4
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N
t�31
220
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Qq ,z
OWNER L Fdik
TYPE OF WORK
DATE N c-), PERMIT s" PIPE Ariic,
INSTALLER 04rk�7
INSPECTOR X, , DRAWN BY