HomeMy WebLinkAboutDrain Layers Permit 210 Oak Street TOWN OF SOIV.TH WINDSOR
DEPARTMENT OF POLLUTION CONTROL "
South Windsor, Connecticut L
DRAIN LAYER'S PERMIT N? 433
Zept. 24 , 197_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 79l1 C)nk `7t. on the
M.nrth. side, between Dogwood & Woodle.1-ad
at premises owned by?nh.rt Heandrew
whose address is 86tam!!
and to X Lay House Drain, Repair House Drain Lay Main, Other
for Residtntima occupancy or use,
with 03t!(1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with al sr inch (b) p1 as _i n 12ipe
Permit to be issued to Aseea Wi sai eurgele j
the holder of Drain Layer's License No. W9._.VA559 Permit will expire on HQy� 19
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 Drain layer to A=1a cruah anti hat kfi 11_ S ptie tit
Signed G.:!
Connection Charge Paid (19-11-73 Licensed Drain Layer
Per. E* MoAiZ (Sig) Issued by ?&112h A. Stnirkw .a -her Jr-
Tax Collector
Permit Fee: Paid $
INSPECTION: Check W,
INITIAL (Sig)
FINAL i Z (Sig)
APPROVED 07 — 2l — 7 (Date)
(Sig)
INSPECTOR
i
i
N
220
G�Ir sr
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 2 O s
OWNER O �aQ �.9,►/LI?Ew
TYPE OF WORK _ E,e L.,s 77-77T
DATE PERMIT ZLLT PIPE c,
INSTALLER ,
INSPECTOR DRAWN BY J,