HomeMy WebLinkAboutdrain layer permit 0000 Sullivan Avenue (6) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
04
DRAIN LAYER' S PERMIT o °`'140
O
19
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at ll'lli x AYg=-- on the
north side, between + %vw.4 & Y3i'1 t d Agh
at premises owned by &he A$ TkUMOMS rerrija
whose address is '141 lkotf D + im, 3611' h b¢ 'dart Q=n 74
and to rX Lay House Drain, Repair House Drain, Lay Main, Other
for cormcroi,r." f eLai" w(ko .) occupancy or use,
with big! 11M Units, with 0027 acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, XM INDUSTRIAL WASTES, OR ani, waah draineas
Connection will be made with six—inch (6") 1
Permit to be issued to R 't2yot:L(m - Ramer No fteard
the holder of Drain Layer's License No. P1-2017V . Permit will expire or00 l)90 b*r 19 2 .
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 j
Connection Charge Paid 0&1&72 Licensed Drain Layer
1100 attfie (Sig) Issued byRDIViA ZdW 24B• JT4
Tax Collector
Permit Fee: Paid $?5*00
INSPECTION: Cb*k* Numbort _ 3' ji
INITIAL (Sig)
FINAL (Sig)
APPROVED 10 October, JV2 (Date)
(Sig)
INSPE / 01-