HomeMy WebLinkAboutDrain Layers Permit 25 Pine Tree Lane TOWN OF- SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
I W V South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 384
Aur.. 21 , 1 9 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 25 Pine Tree Dr- on the
�OL'tYl side, between_Honor & Cfir,
at premises owned by T.wnnrd Acecto
whose address is same
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for reisudential occupancy or use,
with One (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with MIX inch (6) plastic pipe
Permit to be issued to John A-hmmsnn
the holder of Drain Layer's License No. W%! 188 Permit will expire onook, Zq 1�
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 Drain to rmp,crush and bnckfill antic tank
Signed
Connection Charge Paid 08-13-7 j Licensed Drain Layer
Per. E. Maxis (Sig) Issued by RalAh Ae Starkweather Jr.
Tax Collector
Permit Fee: Paid $49.00
INSPECTION: Cheek
INITIAL (Sig)
FINAL (Sig)
APPROVED — 2 — (Date)
._ sY � (Sig)
INSPECTOR
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 2 s
OWNER G.�d,�APa c�
TYPE OF WORK y , G,gTFa�c
DATE PERMIT 294.1 PIPE t vsr c-
INSTALLER . �rs�
INSPECTOR DRAWN BY �'�
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