Loading...
HomeMy WebLinkAboutDrain Layers Permit 835 Ellington Road (2) TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut atlOE List.No.: _ DRAIN LAYER'S PERMIT NO 142 \UAJ, 9 -7 , 19 '78 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at (�rAf [�� PJ�ODC r_Z-L LA16✓Iyl/ V--on the ujg!s 7— side, between at premises owned by_ bU/1/ Cn uTN �J/A/?�CAP whose address is and to Lay House Drain, Repair House Drain, Lay-Main, Other S L L , for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (X), INDUSTRIAL WAS .( ), OR ( ) Connection will be made with Permit to be issued to 4,4MSQ1V /'O/US?1fMn:7-1 AA1 the holder of Drain Layer's License No. Permit will expire on 19 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 Signed Connection Charge Paid NV G Licensed Drain Layer Tax Collector Issued by Permit Fee: Paid $ INSPECTION: Check Number: INITIAL (Sig) FINAL (Sig) APPROVED -Z9- 7F (Date) INSP CT (Sig) -`. !'\ t, C.A t C H \ p 1 Pl i GoLGge w/Wvf nth Ih' Li N , 6t-acD OVER \ / i NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 836 Ellin .©n r OWNER -7©v» 2+ TYPE OF WORK DATE 6-21-7-118 PERMIT E� PIPE INSTALLER INSPECTOR i DRAWN BY