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HomeMy WebLinkAboutDrain Layers Permit 50 Autumn Drive TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: Li South Windsor, Connecticut O st.No.: _�✓ DRAIN LAYER"S PERMIT Np 1358 12- r" 1 7� 9 Pursuant to written applicarior permission i ere y granted to the icensed Drain Layer gamed herein to perform O the work indi to be o t lt/lr7/J /^l��, SQ on the U side, between at premises owned by whose address is and to / Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with Family Units, with 'acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUST k HWA TIES , ), OR ( ) Connection will be made with U Permit to be issued to 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 Signed Connection Charge Paid Licensed Drain Layer 12— 2— 77 Issued by Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: d INITIAL (Sig) FINAL (Sig) APPROVED � ,:- _E — 7 7 (Date) (Sig) �,� INSPECTOR i i ! Dr, �rg ! s 22iiyb '- OU T H tN f_ OSUP, is ai l fiTi( N C NT POL l�O �-1+ION TY F"I .of- lsffO p _ i !Ns©E i TIOR (?I�RsHiNQY • ----------------------- 41 a _ 1 Nol `.r k 'f A 1 Yi is Ell ` e pp �r a f ,n P TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . . .�2r.�'.; �, . . . . . The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' Q or lot A t # . . . . . . . . . .. has been installed and completed in accordance with the Town of South Windsor ordinances and regul ions. Acc pt a Approved B Date � �69 `�