HomeMy WebLinkAboutDrain Layers Permit 127 Skyline Drive ��. . TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 5-6436
List No.: _
DRAIN LAYER' S PERMIT 842
1'Z SKY Dn_,.tz 4-28-75 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Let 14 Slcyvi sw on the
side, between
at premises owned by
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for Reaidextial occupancy or use,
with 071® 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 Plastio Pipe
Permit to be issued to Vi&cojLt Vospa Jr*
the holder of Drain Layer's License No.ld-9 206/528 . Permit will expire on 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 / t
Connection Charge Paid Licensea Drai�ayet
Issued by Fraak J. Smith
Tax Collector
Permit Fee: Paid $ 15-0_
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)