HomeMy WebLinkAboutdrain layer permit 211 Sullivan Avenue TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.:
DRAIN LAYER"S PERMIT NO 1119
16 uls 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at '11 S-o"liyan A yenu,.: on the
>< a-Lh side, between kye Street & dest; sand
at premises owned t'1 i
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for '`>>.:3 =S7 t:•;:i+. occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (;;:`j, INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with
. �i�. C--.i. __� �».r-„_ �,� -� �(.P r•�.z� �i Alill��le �� ?'}:;'io '10+1' �
Permit to be issued to
the holder of Drain Layer's License No. Permit will expire on
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,'4
Connection Charge Paid r;..; Licensed Drain Layet
Issued by r r;
Tax Collector
Permit Fee:. Paid $ _ C
INSPECTION: Check Number:
INITIAL / t r.�,! 4' C !`i (Sig)
FINAL (Sig)
APPROVED /4 tV /f;76 (Date)
(Sig)
INSPECTOR
1
i
ks
i
ST,2Ai4../-T
4 S aFF sET
NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION 231 Sullivan Avenue
OWNER PATRIA Abraham & Elizabeth A.
TYPE OF WORK House Cogaection
DATE 7 ,1 -rG PERMIT 11.19 PIPE."qas
INSTALLER
INSPECTOR DRAWN BY