HomeMy WebLinkAboutdrain layer permit 1006 Sullivan Avenue (2) TOWN OF SQUTW WI N DSOR
DEPARTMENT OF '11101 LNION CONTROL
South Windsor, Connecticut
s- Koy�y
DRAIN LAYER' S PERMIT N? 411
1913 _
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1006 Sullivan AVs, on the
wrth side, betweerGffihm & $1.11s1 de Dr,
at premises owned by F'rwnk Ar Peft j t$.Ij
whose address is 157 6 Me
and to Lay House Drain, Repair House Drain, Lay Main, Otherr&i111 ,
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGY, INDUSTRIAL WASTES, OR
Connection will be made with SIX 148h (6) cast iron
Permit to be issued to Adam Wianfimankl
the holder of Drain Layer's License No.W4-2O6554 Permit will expire o 1
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on t e permit and the reverse s
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS Dra1n 1aYfr to p=$ crush and h,.6kg;11 86-Pti¢ tame
Sign
Connection Charge Paid $29-12-73
Per. E. Monis (Sig) Issued byRelbh A. t�irkweather Jr_
Tax Collector
Permit Fee: Paid $
INSPECTION: Ch®ek.
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
7
Ile (Sig)
INSPECTOR -�
N
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE SePT � PERMIT l PIPE f Z
INSTALLER ��yl
INSPECTOR DRAWN BY ,f;
ASSESSMENTS AND CHARGES
F1)R'' "
SANITARY SEWER SERVICE
Town of South Windsor, 1540 Sullivan Avenue 644-2511
• Department of Pollution Control, Vibert Road, South Windsor 289-0185
Occupant Account No.
Address
Owner
Address
Assessor's Location: Lot H. Map Block Parcel
Land Records: Volume Page
Zoning: Use:
Area Acres
a
Sketch
(Not
(Not to Scale)
Assessment Computation:
Assessable Footage x Front Foot Assessment $ = $
Number of Laterals x Lateral Assessment $ _ $
Total Assessment = $
Assessment Due Date
Deferred Yes No
Caveat Filed Yes No
Paid in Full Yes No
To be paid in installments Yes No
9 Annual Payments of $. plus 5% on unpaid balance
Lien Filed Yes No
Connection Charge Computation:
Number of Units:
(Residential, School, or Church) x Unit Connection Charge $ _ $
Number of Acres:
(Other than Res., Sch., or Ch.) x'Area Connection Charge $ _ $
Connection Charge Paid in Full: Date
Collector of Revenue
Assessment & Connection Charge Computations Approved
Town Engineer