HomeMy WebLinkAboutDrain Layers Permit 22 Stoughton Drive TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION: �g�
'BUILDING ADDRESS OR LOT No . [ U
STREET:
SUBDIVISION:
NH STATION : +
NORTH ARROW INVERT ELEV: G3
TIE TIE
JFT. FT.
HOUSE v
LATERAL f LATERAL------ HOUSE
CONN�,ECQT,ION 4 �� STUB STUB CONNECTION
T FT.
BUILDING INV. ELEV. INV.ELEV. INV U. . ELEV. INV. ELEV. BUILDING
(IF EXIST.) �D�p (IFEXIST.)
U \
TIE TIE
*i STATION : +
INVERT ELEV: Lf 7-
0
CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR(PRINT)
STREET ADDRESS SIGNATURE DATE
f"�YJG�I�t0a2 �� l� a
TOWN rr / STATE ZIP INSPECTED BY TOWN DATE
,2o3 `) (o�� l� (O/o(.p_
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW -CONSULTING ENGINEER/DEVELOPER