HomeMy WebLinkAboutdrain layer permit 930 Sullivan Avenue (2) TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT idet No.t 8.60105M 141
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 930 $4411 a-105 on the
.,,with side,)DWM j)C.=or of Sagl-!4yan IN3ilddo
at premises owned by ;. 100. s , i
whose address is �
and to Lay House Drain, Repair House Drain, Lay Main, Other ,
for repAdesttfrl occupancy or use,
with oap 0) Family Units, with app=l. J 12 acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, XXi INDUSTRIAL WASTES, OR
Connection will be made with � x�-� C1'F ( 1t) pleOtiG pipe
Permit to be issued to Hi1111rQCL: Pr1XUt1AiCts(-.zi '6. - Prett r-
the holder of Drain Layer's License No. 41XL±f 9lt Permit will expire on 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the pe�rmi a i a r side"'
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed �13'8tt r !
Connection Charge Paid 04-07-72 L ceennsed n Layer
S9e Attached Sheet (Sig) Issued by �VY'r�•
Tax Collector
Permit Fee: Paid $15j30
INSPECTION: c1loc! I!h=baPr 2m
\ INITIAL (Sig)
FINAL (Sig)
APPROVED 24 October, 1972 (Date)
- , 0- � 1A&-A.Jca (Sig)
177, INS