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HomeMy WebLinkAboutDrain Layers Permit 0246 Avery Street (2) TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT N© 492 , 1q - Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at it on the --, side, between__^^_ at premises owned by whose address is ice! and to Lay House Drain, Repair House Drain, Lay Main, -Other for . occupancy or use, with 411110 f4d Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE) INDUSTRIAL WASTES, OR Connection will be made with 4&&Asft ` } x. z Pet[ii[:to be issued to < •. , the holder of Drain Layer's Lreense No. Per 'it will expire on 19 The undersigned Drain Layer hereby agrees to ali the terms and .conditions set forth on the permitsand the reverse side thereof. Applicant has received Town Permit No. and/or C H D^Permit No. for street excavation. SPECIAL CONDITIONS a MMML- �= ANWO Signed Connection Charge Paid $ i {1, Licensed Drain Layer 16 am* 0*9 (Sig) Issued by Tax Collector Permit Fee: Paid $ INSPECTION: INITIAL (Sig) FINAL (Sig) APPROVED (Date) (Sig) INSPECTOR