HomeMy WebLinkAboutDrain Layers Permit 120 Robert Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER"S PERMIT NO 1606
a A/t. /7— , 192
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1i�--e ��C'- L on the
side, between
at premises owned by—
whose address is
and to k�Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with 4,121 p Family Units, with acres.
Type of Sewage to be connected under this permit: ( .�,o, _ r
SANITARY SEWAGE ( L4,,INDUSTRIAL WASTES ( ), OR' (' )
Connection will be made with
Permit to be issued to
the holder of Drain Layer's License No. a a�!-¢ Permit will expire on � Z®, 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 �•- c cam.
Connection Charge Paid p 0 Licensed Drai ayer
1�Z9 Ji i 3 2-6 Issued by
0 Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
iL
PQ
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE "'.), PERMIT r PIPE,
INSTALLER t/27yi.- C,
INSPECTOR DRAWN BY