HomeMy WebLinkAboutDrain Layers Permit 170 Orchard Hill Dri r
,
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
_� _
South Windsor, Connecticut B/P No.: X
List No.: _ 7 4�4193 f
DRAIN LAYER'S PERMIT NO 836
' 19�r3
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 170 Ti;1 l nr;2r, (Tip t 1,1 1 1 on the
side, between
at premises owned by
whose address is
and to �` Lay House Drain, Repair House Drain, Lay Main, Other
for rn!?i r?or
occupancy or use,
with one, (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (x ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with ,g_;r�ti ((-,n; , i 4-4
Permit to be issued to
the holder of Drain Layer's License No_ _
a_?OLF Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the p_dimi a d the reverse si_dT�-
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid 0-�_?1-•7 :aLZicensed:DZrain;La r
.R(-(,_ '< 2r;!I- Issued by
Tax Collector
Permit Fee: Paid $ _ _
INSPECTION: Check Numbeg1t,4 gi,T _
INITIAL (Sig)
FINAL (Sig)
APPROVED 2_� Anri l 1925 (Date)
(Sig)
INSPECTOR