HomeMy WebLinkAboutDrain Layers Permit 76 Willow Street w
TOWN OF 5� * . WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
S ,0-?e
DRAIN LAYER'S PERMIT 444
Oct 9 3197
Pursuant to written application, permission ishereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 76 V123 v St on the
t side, between V"dland at
at premises owned
whose address isr
and to Lay House Drain, Repair House Drain, Lay Main, Other
for M-814dYiUAI occupancy or use,
with *no W Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE)+ INDUSTRIAL WASTES, OR
Connection will be made with ellt Mob (() VX&P&
Permit to be issued to Ad" VIANNINK
the holder of Drain Layer's License NoYg Permit will expire on 2kne, f 2 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 Dftft ZWIDV t0 Oft *GrW& Md
Signed Y" ��
Connection Charge Paid.$9/VP3 1cense a L
Ptr. ze men" (Sig) Issued by W3* A. Stniftftfter Jr.
Tax Collector
Permit Fee: Paid
INSPECTION: f
INITIAL /!7 C i/_;. (Sig)
FINAL (Sig)
APPROVED 4 4Z,Z— + � ;S, (Date)
,' ' (Sig)
-_ 4SP OR
N
GS
NOTES SOUTH WINDSOR POLLUTION CONTROL
C/ LOCATION 7 G ►,vd1 vk -rT
/ � 0 OWNER A/
TYPE OF WORK w
DATE PERMIT PIPE ev
INSTAL R 399�
INSPECTOR ge f DRAWN BY -'