HomeMy WebLinkAboutDrain Layers Permit 30 Ravine Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
DRAIN LAYER'S PERMIT Np 788
JaAuarrr , 19—?�
Pursuant to written applicatior, permissionis hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at _30 Rayi&e lb" (/I.aT 14) on the
f1Drth side, between_ &VOW221 Hand and Het 7 is 200d
at premises owned by Var&
whose address is aa�sa
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for !'eoUmtJol occupancy or use,
with *a* Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE 11), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with BLX-ilWh
Permit to be issued to"b& A. LMSMIK. WE Larsana 002struettim. 10
the holder of Drain Layer's License No. V9-wiSiN Permit will expire on 29 falm}1 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
Signecl
Connection Charge Paid Ol-Q8-7.5 Licensed Drain Layer `
Recolpt No* 723 Issued by MelVis Idwaxdr, Jr.
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number: 1838
INITIAL 1. (Sig)
FINAL ' r/ (Sig)
APPROVED t i (Date)
INSPECTOR'S