HomeMy WebLinkAboutDrain Layers Permit 313 Oakland Road �.- XTOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut i, 6 o 5
List.No.: J„�.
DRAIN LAYER'S PERMIT Np 1806
, 19/ y
Pursuant to written applicatior, permission its hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_ 3 �! '�� ,a('LC(
on the
side, between
at premises owned by— S"tt= t
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES .( ), OR ( )
1/1Connection will be made with & w �—
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on 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
0$O, f&L �O/ �Y a-z Signed �•✓
Connection Charge Paid 6 U Licensed Drain Layer
Issued by
Tax Collector
Permit Fee:. Paid $ �s D �D6p
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
ig)
INSPECTOR
y '166
N
44
Ll
i
n
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 311 Oa klo /KJ
OWNER r, _s t,'`,
TYPE OF /P St s /Z Al r«,._
DATE PERMIT PIPE 6''/`��y
INSTALLER r\ F
INSPECTOR L>b DRAWN BY L