HomeMy WebLinkAboutdrain layer permit 00 Sullivan Avenue (4) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
TANt X*1 S-60091
DRAIN LAYER' S PERMIT X? 122
23 , 19 72
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at suliftm A' (Ow 2 on the
th side, between Sebw1 r Imad I toast load
at premises owned W OM I"
whose address is 622 State Street, gpringfield, Wwwo
and try Lay House Drain, Repair House Drain, Lay Main, Other '
for a2+eW occupancy or use,
with OEM 0) XXWX Units, with 1*424 acres.
Type of Sewage to be connected under this permit:
SA i INDUSTRIAL WASTES, OR
Connection will be made with 6" Trues V11a
Permit to be issued to_ Ha*01 emstlwtion « Vit 'coy
the holder of Drain Layer's License No. W9-W5W4 Permit will expire o213 AUgMt 1972
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 Lst6ftl to be OOVPW iAmido 1"UIUW MtU eear is
aacept d b7 Himps md MM&
-,
Signed Vito c y"Uky
Connection Charge Paidl$06-23P-72 Li ensed Drain Layer
So* AtUmhad (Sig) Issued by •�'a'.
Tax Collector
er it ee• Paid 000
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED ' '' �#�p , .,, (Date)
(Sig)
INSP CTOR