HomeMy WebLinkAboutdrain layer permit pp Sullivan Avenue TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL BAP No.:
South Windsor, Connecticut N
List No.:
DRAIN LAYER'S PERMIT N? 1445
.Tw k/ .Zd , 19 *7.4
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at .S'ULd-/VAA/ 4V5 on the
119/ 9-7; side, between AyAiVS ED,
at premises owned by_T"Al 01 %SO 14LN WIND 6f,
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other T1115>ftLL Z—,' T efi L ,
for R672 91>---/V r/ 4:14 occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (V,), INDUSTRIAL WASTES .( ), OR ( )
Connection will be made with 6 1,D. CLiq
Permit to be issued to rP Z E N d D/BLS J
the holder of Drain Layer's License No. Permit will expire on 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
s '
Signed
Connection Charge Paid A- e_ 01ensed Drai .Lay
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED �J-�/ -`J� (Date)
(Sig)
INSPE OR
M.H.
N
SNETCO
�I80
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ,SULLIVAN AVENUE
OWNER -TOWN OF SOUTH WJNOSOR
TYPE OF WORK
DATE -7120 78 PERMIT PIPE
INSTALLER DZ E N CONST
INSPECTOR G.TUkLK DRAWN BY7- LAPPER