HomeMy WebLinkAboutDrain Layers Permit 105 Skyline Drive TOWN OF SOUTH WINDSOR
-DEPARTMENT OF POLLUTION CONTROL,. B/P No.:
South Windsor, Connecticut S�aFti¢
List No.: _
DRAIN LAYER'S PERMITO 926
��� 04 September , 19 _ 75
/oS S'u/ /-/^Ic
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to"perform
the work indicated below at I,ot 17 err Cie on the
• mesh side, between
at premises owned by R&C
whose address is
and to —_I__Lay House Drain, Repair House Drain, Lay,.-Main, -Other
for regi dential occupancy or use,
with one 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 Loch p3-PRi-in pi1 P
Permit to be issued to_ Ronald lacobucci
the holder of Drain Layer's License No. wg- Permit will expire on 04 October 19_7�
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 09ZQ2/75 _ Licensed Drain Layer
-- #844 Issued by M. Timothy Friend
Tag Collector
Permit Fee Paid $ 15.
INSPECTION: Check Number: 314
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
�_� ^INSPECTOR (Sig)