HomeMy WebLinkAboutDrain Layers Permit 9 Pond Lane TOWN OF SOUTH WI N DSOR
DEPARTMENT IOFrPOLLUTION CONTROL
1P South Windsor, Connecticut lO 7 ? 2-
DRAIN LAYER' S PERMIT NO 473
Oct. 1E6 19_ 3
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 9 Pond La. on the
east side, between QlOo(lhill & Benedict
at premises owned by James P. Rafferty
whose address is f name
and to X Lay House Drain, Repair House Drain Lay Main, Other
for residential occupancy or use,
with one 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
( SANITARY SEWAGI), INDUSTRIAL WASTES, OR
Connection will be made with aix inch (6) V*C.p•
Permit to be issued to Allan Wisnieski
the holder of Drain Layer's License No W9-206559 Permit will expire on Dec 19—ZL.
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 layer t0 pwip, crusa, and back-fill se-atic tank
Signed
Connection Charge Paid $110/1/73 Licensed Drain Layer
Per. E. 1•11oniz (Sig) Issued by 'loh A• Starkweather Jr*
Tax Collector
Permit Fee: Paid 15,Q0
INSPECTION: Check ;" .-
INITIAL %C i / ;`/ f (Sig)
FINAL c_ i<? /: / (Sig)
APPROVED (Date)
' (Sig)
INSPECTOR
6� r
N
,9
A
�OND
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION oivq /-
OWNER FF F_,7
TYPE OF WORK
DATE PERMIT72 PIPE y�
-INSTALLER
INSPECTOR DRAWN BY -r.