HomeMy WebLinkAboutDrain Layers Permit 121 Steep Road TOWN OF SOUTH WINDSOR
r DEPARTMENT OF POLLUTION CONTROL Bhp No.: __ -R
South Windsor, Connecticut
List No.: _S L,'91 7
DRAIN LAYER' S PERMIT NO i021
ZZ Dacembar , 19_7-5
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at "Qnnt4 (T�iL 3'1) on the
northside, between__ Amd_a Road and GrAhans Rnad
at premises owned by KTNS7.F'Y, F`t A¢�har lai ajr�
whose address isle
and to XLay House Drain, Repair House Drain, Lay Main, Other
for residential
occupancy or use,
with One (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Ri x—i neh t 6") V]ae+i c. pi pe +n a I ate+. I known as to 17+2(.!g
_ at A death of 6—Or!—
Permit to be issued to VitO y. Covensky
the holder of Drain Layer's License No. W9-205924 Permit will expire on 17 February 1926
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 12-16-75 Licensed Drain Layer
Rec. # 919 Issued by Melvin Edwards Jr
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED t J � o (Date)
� (Sig)
V-ANSPECTOR
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