HomeMy WebLinkAboutDrain Layers Permit 85 Willow Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT N? 274
18 Juae , 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 85 Wi I i nw Si anot on the
Igest side, between MiRz 1 A _ .rajet anti Woodl ad_ 7)riye
at premises owned by Ri nharc7 Wi i l i am H�ra�ri i
whose address is Mae�e
and to X Lay House Drain, Repair House Drain Lay Main, Other
for reaidential
occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
{ SANITARY SEWAGE,, INDUSTRIAL WASTES, OR
Connection will be made with mix—ivnh (Gt1) nazi- i rnm
Permit to be issued to Adam Winai ewseki
the holder of Drain Layer's License No. W9-2o6559 Permit will expire on 18 August 19 z3.
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 Drain I.av r o � rl� In mad h'n7r P.i iti A teak
Signed .�
1
Connection Charge Paid X 06-14-73 Licensed Drain Layer
Per E. Momiz (Sig) Issued by Melvin Edwardm, Jr.
Tax Collector
Permit Fee: Paid $.15.00
INSPECTION: Cheek Number:
INITIAL (Sig)
FINAL �!/,�_ (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
N
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 8s' r<l z i
OWNER w-*Aa-o 1.4. ttassg-rr
TYPE OF WORK S to ci c ,A,,✓(,
DATE �-,,,P f PERMIT 7--14 PIPE
INSTALLER
INSPECTOR 'iGi DRAWN BY2) /,,