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HomeMy WebLinkAboutDrain Layers Permit 184 Skyline Drive TOWN Of SOUTH WI N DSOR • DEPARTMENT OF POLLUTION CONTROL + B/P No.: South Windsor, Connecticut J List.No.: $-6 o95t¢ DRAIN LAYER'S PERMIT N? 1045 27 March , 19 76 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to'perform the work indicated below at 184 Sky Line -Drive (Lot 54.) on the side, between at premises owned by whose address is and to Lay House Drain, Repair' House Drain, Lay-Main, Other for rani dentiAl occupancy or use, with one (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (XX),".INDUSTRIAL WASTES .( . ), OR Connection will be made withsix—inch_(6") n anti a new, Permit to be issued to_ Ronald R. Tacobucci the holder of Drain.Layer's License No. W9-20742 Permit will expire on 27 Max ' 19 76 The undersigned Drain Layer herebyy 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. u- ,.._..e- _s..f"_'_ �.. •.r__- j._,.."��- a'k�'�'�.. ...=. z :., _ _. .�t:v+... °�..-t-.a�M.La..�•.-�..T .- a-.-..-- - f Signed Connection Charge Paid' 03-1�}-' '' Leense`d Drain Layer Rec. # 937 Issued by Melvin Edwards, Jr. Tax Collector Permit Fee:. Paid $ _ !�? ffl INSPECTION: Check Number: INITIAL (Sig) FINAL n 3 Ati , .Q (Sig) APPROVED ?7 March, 1976 (Date) " �.a•-�. (Sig) INSPECTOR N k- u N NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION 184 Sky Line Drive (Lot 54) OWNER TYPE OF WORK House Connection DATE 0-3/r 76 PERMIT 1045 PIPES"A V. INSTALLER Yaco (W9-20 427) INSPECTOR DRAWN BY pemdt TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . . . . . . The Sanitary Sewer . XX. . . . . Septic System . . . . . . . . ` : . . has<been--installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and Approved By Mervin Edwards. Jr. Date &1 3 f v Cianitary Inspector