HomeMy WebLinkAboutdrain layer permit 856 Sullivan Avenue (2) TOWN OF •SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South,Wi.ndsor, Connecticut
2AAt We.:
DRAIN LAYER'S PERMIT No is
16 Ate, 19 73
Pursuant to written a
,Pl i er - ssion i h re ra red to the Licensed Drain Layer named herein to perform
the work indicated below at Ave (OLtto 'Abtlt+iJM) on the
ACWU side,between Hand Md Ift 21dda Ordyas
at premises owned by Autowtia for garrn=Mm
whose address is P-0, Box M, HkAftri, Cie " 0 rAzead �fEyBe" al)
and to X Lay House Drain, Repair House Drain, Lay Main, Other ,
for iOr� occupancy or use,
with one 0) Units, with acres.
Type of Sewage to be connected under this permit:
Cam,axiTT,alix§FE" INDUSTRIAL WASTES, OR
Connection will be made with (6*l)a V
Permit to be issued to A440 Sr VA^i*W4k1 s WS/ 1 s CCI '
the holder of Drain Layer's License No. W%40 Permit will expire on 46 JUMO 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
Signed x#t, a ;ts.�t lf� •
Connection Charge Paid 04-16-73 LicensedDrain Laker
A! Flo 8 (Sig) Issued by 1 1 • Jr*
Tax Collector
Permit Fee: Paid $
INSPECTION:
wr�+rri�r�rris
INITIAL `".-'. .. (Sig)
FINAL _... .._ (Sig)
APPROVED 477 APril• 1 (Date)
r
t
(Sig)
I ECTOR