HomeMy WebLinkAboutDrain Layers Permit 30 Pine Tree Lane J r
-rill
TOWN OF AWTH WINDSOR
DEPARTMENT OF r 4,UTION�CONTROL
South Windsor, Connecticut
s '03®.,
DRAIN LAYER' S PERMIT N? 383
1 + Al2q 1 Pursuant to to written application, permission is herebygranted to the Licensed Drain Layer named herein to perform
the work indicated below at 30 Pine Tree drr (L 9) on the
Wrth side, between Nanor & Carmsn
at premises owned by Edward KA*MW{nit
whose address is te49
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for residential occupancy or use,
with on* (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with 6ix inch (6) Aa_atie Id
Permit to be issued to John A. Lrmann
the holder of Drain Layer's License N(W9-2Q618& . Permit will expire onoat, Z' 1,q�
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse s 3e—
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Drain laY*r to V=s olvsh and b&4kjM oWtis tank
Signed f�
Connection Charge Paid 08-13-73 Licensed Drain Layer
P*r• No NoniB (Sig) Issued b ph A* 6tAzkW"th*r are
Tax Collector
Permit Fee: Paid
�w
INSPECTION: Ch"k l 11g'1.��
INITIAL (Sig)
FINAL (Sig)
APPROVED O (Date)
(Sig)
INSPECTOR
N
0
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 30 R)i14 �
OWNER row�a r� �Js�,•�
TYPE OF WORK
DATE o — -z- PERMIT ,Fff PIPE /'ZAr,,�7e
INSTALLER
INSPECTOR /::um DRAWN BY