HomeMy WebLinkAboutDrain Layers Permit 127 Robert Drive pet
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL �
_
South Windsor, Connecticut B/P No.: ZZ
List No.:
DRAIN LAYER ' S PERMIT
O 885
M Jill 3[ , 197_
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at _ 127 Robert Dr_ on the
south side, between_ Nevern Rd. anti Abbe Art.
at premises owned by Edtrnrd Tv1_�tki
whose address is ame
and to X Lay House Drain, Repair House Drain, Lay Main, Other
,
for reiideatial occupancy or use,
with Oae Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR
Connection will be made with 6iX iaCh ue joint pipe
Permit to be issued to John A. Leon
the holder of Drain Layer's License No m*9-2oW8 Permit will expire on08 UL 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pernriitaand the reverse sid�
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed-
Connection Charge Paid3l3ZZ5--_ Licensed Drai6 Layer
744 Issued by M• TiMt XV Friend
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL '' (Sig)
FINAL (Sig)
APPROVED ��; i� / `; (Date)
(Sig)
�� INSPECTOR