HomeMy WebLinkAboutDrain Layers Permit 230 Skyline Drive b TOWN OF SOUTH ail - -
WINDSOR
T DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: se'nfl.9
DRAIN LAYER'S PERMIT NO 909
S�y Lfz l /L rJC {!6 At Mot ; 19— 5
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Z30 0OX nas lot on the
side, between
at premises owned by
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for raddolt3al
occupancy or use,
with on* 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with six-inch (6M) plasuo A"*
Permit to be issued to 30110 0"OUA Jr*
the holder of Drain Layer's License No. V9"'2*7 . Permit will expire on 06 00tobWW 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
Connection Charge Paid 08-M-73 ' Licensed Dram Layer
MOOLPt NO, 833 Issued by MOITU EdVU44* Jr•
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:pltr" " 149
INITIAL enk1 `?4(2, e. (Sig)
FINAL 4 e ..7"F" (Sig)
APPROVED �. tp, sr 1�' (Date)
a t<� (Sig)
INS OR
............
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION z3� LsrL 0
OWNER
TYPE OF WORK okSE (� ,r rc.i
DATE t' PERMIT 902 PIPE " LRrT
INSTALLER e �„�
INSPECTOR / DRAWN BY "'