HomeMy WebLinkAboutDrain Layers Permit 174 Skyline Drive TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.: —
South Windsor, Connecticut S6a�49
List.No.: _
DRAIN LAYER'S PERMIT NO 989
10 November , 19 7
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 174 Zeetez—6ke3 1 or J�3 on the
side, between
at premises owned by Skyview
whose address is
and to XX Lay House Drain, Repair House Drain, Lay Main, Other
for residential
occupancy or use,
with one Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (KX), INDUSTRIAL WASTES OR ( )
Connection will be made with six inch Plastic pipe
Permit to be issued to Ronald R.. Iacobucci
the holder of Drain Layer's License No. W9-207427 . Permit will expire on 10 January 1996
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
g � r�- � --
Si ned
Connection Charge Paid 11/10/75 Licensed Drain Layer
893 Issued by M. Timothy Filend
Tax Collector
Permit Fee: Paid $ _ �QQ
INSPECTION: Check Number: 377
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
(Sig)
ECTOR
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