HomeMy WebLinkAboutDrain Layers Permit 31 Pine Knob Drive TOWN OF . OU 'H WINDSOR
DEPARTMENT `0 POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER 'S PERMIT N° 483
Oct. , 19 7
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at_34 ft" Dre ( LOT- ^7 ) on the
ra side, between A*. a- ,mob
w
,rr
at premises owned by nmosm
whose address is MIM
and to _Lay House Drain, Repair House Drain, Lay Main, Other
for —- • - t j;
��:..� occupancy or use,
with 0.0 4) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with 8" I=h (6) Pautia pipe
Permit to be issued to J_ truer
the holder of Drain Layer's License No. Permit will expire on jya* 23 19rV
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse si e
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS�2AM to psi Md batik= affltiQ tmk
Signed
Connection Charge Paid $ 10/23/7 , r' Licensed Drain Layer
Per. R. Mani! (Sig) Issued by Dh Ao stadmutMr Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check
INITIAL (�!( f �j r I i. (Sig)
FINAL (Sig)
APPROVED �`" (Date)
----�T '� (Sig)
INSPECTOR
N
kP 9 °
10
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION Vlz- rvv Q
OWNER 01,1 - -ii✓wi.a v
TYPE OF WORK
DATE PERMIT PIPE LP,f'%i c
INSTALLERCori/
INSPECTOR -S' DRAWN BY X-