HomeMy WebLinkAboutDrain Layers Permit 280 Strong Road p • TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.:
DRAIN LAYER' S PERMIT NO 827
t►/3/75 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 280 StroYg Road on the
side, between
at premises owned by Job& Ae I+aMa0z
whose address is Same
and to X _Lay House Drain, Repair House Drain, Lay Main, Other
for Rosideatial
occupancy or use,
with Gite Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Bix Inch Plastic Pipe
Permit to be issued to Johx .A• Lamson
the holder of Drain Layer's License Nok1-9-206/88 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
Connection Charge Paid # 734 Licensed Drain Layer
2-10-75 Issued by FraAk Jo Smith
Tax Collector
Permit Fee: Paid
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)