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HomeMy WebLinkAboutDrain Layers Permit 0142 Avery Street (2) / TOWN OF , SQ, UTH WINDSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT 1vO 472 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 142 Apt=We NANWI MUr. on the Vost side, between $6i910 6 OWdMd We at premises owned by Clumi" J, 01 whose address is � and to XX Lay House Drain, Repair House Drain, Lay Main, Other for_r*ddential occupancy or use, with (M Family Units, with acres. Type of Sewage to be connected under this permit: (SANITARY SEWAGI), INDUSTRIAL WASTES, OR Connection will be maAe with ii LX (6) UUS tf � Permit to be issued to JO S imam the holder of Drain Layer's License No. 88 Permit will expire on� , The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse si$e* thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS Dr*UUyer to fm OpIdde tAMk j Signed Connection Charge Paid �dh©/�?' Licensed Drain Layer Pere Zs man" Tax Collector (Sig) Issued by A41* A, Stawky"tawr Jr. Permit Fee: Paid $1—M INSPECTION: fteek INITIAL `� % / %Ii (Sig) FINAL / t i i r l`i (Sig) APPROVED - (Date) (Sig) INSPECTOR '