HomeMy WebLinkAboutDrain Layers Permit 71 Willow Street TOWN OF SOUTH WI N DSOR '
DEPARTMENT OF POLLUTION CONTROL Bhp No 9-E
South Windsor, Connecticut S-6o9z�
List No.: _
DRAIN LAYER'S PERMIT
O 974
h
30 Ootob*r 19 7+
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to-perform
the work indicated below at - 71 Willw Street (Lot 14) on the
West side,"betweerVAOd1=4 D.Ve and et
at premises owned by
whose address is.M* \
and to Lay House Drain, - Repair House Drain, Lay-Main, Other
for reaideatial 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 ( ) 1
Connection will be made with six fett h (6�) plastic at toa lateral known sa Sta. 9+89, at a
do th of 7*0'Mi'
Permit to be issued to Jobn A. i+at an
the holder of Drain Layer's License No. 19-�188 Permit will expire on 30 }"40ber 19
The undersigned Drain Layer hereby agrees to all the terms.and conditions set forth on the permit and the verse'side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
_ J'Ocz
Connection Charge Paid JQT29*75 6fLicensed Drain L er
Rea# 885 Issued by Kelvin >edwardas Jro
Tax Collector `
Permit Fee:: Paid $ - 1§*00
INSPECTION: Check Number: 2196
INITIAL da4a a /¢3& (Sig)
FATAL xo0A/ Q A= (Sig)
APPROVED .$/ 40 I!44 (Date)
w1 (Sig)
INS TOR
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