HomeMy WebLinkAboutdrain layer permit 828 Sullivan Avenue (2) Pik
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT tc''>tl
) 19— —
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at s Jull'.YM j»y on the
latirth side, between�i 3 iillaid& .�
at premises owned byPope"
_taw...o..d
whose address is
and to 1t&. Lay House Drain, Repair House Drain, Lay Main, Other
for rse�s`Di�l, occupancy or use,
with C 0) y Units, with 0.68 acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, = INDUSTRIAL WASTES, OR
Connection will be made with 8•c.._4b..,ll (AfW—M-c-p-
Permit to be issued to�11 V'a W-ift1*!.'ataki
the holder of Drain Layer's License No. Permit will expire on18eiw**m{,*r 19
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit an -the reverse si e
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed �� �'°
Connection Charge Pais$ 08-16-�2 Licensed Drain`
t4k* AttAoh (Sig) Issued bl _try wr4 !ra
Tax Collector —�—' �.��
Permit Fee: Paid $25AIU
INSPECTION: MOS.- vuwmrt
INITIAL `! """"� (Sig)
FINAL .�,,,...►""' (Sig)
APPROVED 2`� ALIj�,UBt 972 (Date)
jf
i (Sig)