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HomeMy WebLinkAboutDrain Layers Permit 1 Bidwell Road (2) _ TOWN OF SOUTH WI N bSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT N? 4 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at t r r 4, __-�4_ ,A, ,% +, on the #444404t side, !Z� 3#r A,"A xar,. A�'# J�,O#j It 43-4*s& at premises owned by ? .' �, s r 1e5 ", • whose address is AAA .0' c kvet, and to it Lay House Drain, Repair House Drain, Lay Main, Other , forss *ae eta #${ g occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: ANIT SWAG INDUSTRIAL WASTES, OR Connection will be made with A, l N, 10 Permit to be issued to t fi .s r the holder of Drain Layer's License No. Permit will expire on � ,,t 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 (Sig) Issued by Tax Collector Permit Fee: Paid $ INSPECTION: cam. ..� T. INITIAL g (Sig) > 'c, FINAL (Sig) =' 'f APPROVED d1h —4 fro (Date) I (Si ) J INSPECTOR g 4f�l - - •�• � �r � �s e , • ���� to i �z `3 TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT © 4 1 QVd WA QA Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 4 .4 4 C4. r- 4 on the side, bomwon at premises owned by sr ' t�tC d1 4 whose address is jrAl wk All Avm 16 and to —j Lay House Drain, Repair House Drain, Lay Main, Other , for__ dt"—A" occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: NITr� X�SEWAG INDUSTRIAL WASTES, OR ... Connection will be made with—4 ##fr jfv i Permit to be issued to - Akta&L the holder of Drain Layer's License No._ Permit will expire on tr#4r. a I 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 (Sig) Issued by wl ilk L-�C sf Tax Collector Permit Fee: Paid $ INSPECTION: INITIAL (Sig) FINAL (Sig) APPROVED =;&: (Date) (Sig) INSPECTOR