HomeMy WebLinkAboutDrain Layers Permit 95 Skyline Drive TOWN OF SGIAM WINDSOR
1*"- DEPARTMENT OF POLLUTION CONTROL
B/P'No.:
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT NO 624
July 15 , 19 74
Pursuant to written applicatti r, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Lantgr Ciro. Tat #18 on the
roost side, between A t3rSAM & =14i"
at premises owned by 1ltil
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for 11.AOMW occupancy or use,
with ORO Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (Z ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with GLS (QJA*M FeVrQe
Permit to be issued to rid"
the holder of Drain Layer's License No. W9 M Permit will expire on S*Pte 13 1974
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, 7 ♦ .e.G,+....��
Connection Charge Paid 7IZ/74 Licensed..-,brain Layer
$e3'e Be Konis Issued by %Ipk Ae Ste2'1iCwather Jry
Tax Collector
Permit Fee: Paid $ _�5e40
INSPECTION: Check Number:
INITIAL (Sig)
FINAL L U (Sig)
APPROVED / (Date)
(Sig)
INSPE TOR
s
N
2 Lt '
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION L6sTrQ C -R.
OWNER I/iE LaT -go /S
TYPE OF WORK
DATE PERMIT c PIPE �'�'�•
INSTALLER I. A-%v
INSPECTOR r DRAWN BY %ram