HomeMy WebLinkAboutDrain Layers Permit 38 Orchard Hill Driv (3) TOWN OF so rH wI N Aso
DEPARTMENT OP ELUTION CONTROL gip No.:
South Windsor, Connecticut
List'No.: _ l:' _L_
DRAIN LA:Y:ER'.S RERMIT Np 548
19 74
Pursuant to written applicatior; permission is hereby granted to the Licensed Drain Layer named herein to perform
the,work indicated below ati3'+C _ I .. s on the
Muth side, between FOMAAAr krj= $ta.
at premises owned by a ote Ctft,4
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other ,
for M44 4% 44, occupancy or use,
with CIRA Family:Vnits, with acres.
Type of Sewage to be connected under this'permit:
SANITARY SEWAGE (1), INDUSTRIAL WASTES .( ), OR
Connection will be made with
Permit to be issued to 1i'i3 atz3i�
-777
777 77-
the Folder of Drain Layer's License No. t Permit will expire on July I
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
Connection Charge Paid. Licensed Drain Layer
* 4I
_ Issued by WO As 14ftlk"M OW Oro
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL A, � s` � (Sig).
FINAL 10.4 a ' a'. ,..r (Sig)
APPROVED A �' f: (Date)
. ! "r µ ,. q Jt.. y..�•- ,,, _ .� `,.,. (Sig)
INSPECTOR