HomeMy WebLinkAboutdrain layer permit 840 Sullivan Avenue (2) MWN OF SOUTH WI N DSOR
DEPARTMENT, OF POLLUTION CONTROL
South Windsor., Connecticut
DRAIN LAYER'S PERMIT O *_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 8Q . ym Aveow (audam swrftee) on the
side, between Tin NO" & must& Drive
at premises owned by RWmrt W. Akan
-
whose address is 246 AsUr Stroots SOUth Wars OOM,
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for " - occupancy or use,
with me`03 Units, withi` acres.
Type of Sewage to be connected under this permit=
t INDUSTRIAL Wt1ST ±,.Qg
Connection will be made with 04 9-140•(V V.0*Pi
:k•
Permit to be issued to MAN'U's
the holder of Drain Layer's License No '� 'pinit" T,ix�S•it'e oii. '1Q,,?w�A 19
The undersigned Drain' hereby agrees to all the."Eerms Co1dt�an$; l�tfth on the permit and the reverse side
td 1� J
thereof. Applicant has received Town Permit to �,d ��ri Permit No.
for street excavation.
SPECIAL CONDITIONS � _ WIA lbo of lowt
i o Cgs taxi mouu of to yocoy.
N,
�• `a t� .:
Signed_ ;
Connection Charge Paid Licensed Drain Layer
Paid ono (1) &,are ou Ya
Por attac od (Sig) Issued by
Tax Collector
P rmit F%v. Paid
$
INSPECTION:
INITIAL "" (Sig)
FINAL (Sig)
APPROVED � � � 3 (Date)
a
(Sig)
IN CTOR