HomeMy WebLinkAboutDrain Layers Permit 53 Brian Road '
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TOWN' OFj SOS, H WI�IDSOR Xr, F '
f DE PA'R MENT OFWrlt� �.UTION CANTROL
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' = South Windsor, Connecticut x }
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DRAIN LAYER'S PERMIT0 332 `
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Pursuant to_wntten application, permission is hereby granted to the Licensed Drain Layer named herein to eeform°-
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the work indicated below at r} ;-. "�a3-E on the w 4
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kzt+U side,('between # _.. 1 .M t
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[L I whose address 1s ` ! ;'t �' a �Y.,, }r z r� t# '� 3. p ' '.
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and to, Mouse Drain, Repau ouse Drain,i _ a '�' � �r x I-aY H L Y Main,, Other *¢
€ - t '` i a r£`g r s 'e-€ + ni: 's ca[ '
# $ FY r .� _
k for aaaatetk# 3 _ � �' occupancy or-uses,
r -..r k :;S` a-�r - .'h.,} Uzi, t £ fa'r"t- "t: �' ,, 'f 2- ¢$ is 4Y e 7 a.s '-t rt 'by -� �r
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with1 � Family Units: witl}� � � � fire es} r —g
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} X Type'of Sewage to be connected under this permit '__ � s _ '$ t bx ' .
�` :" y z �„`- .`'� r $ i+e rn gags-., ",t t t,a' s., :: P �
SANITARY SEWAG n INDUSTRIAL WASTE9.1-7 . �� _� � *� }
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Mr Connection will be made with
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€ h; Permit to be issued to ' `, ' t � � � �
the holder of Drain`Layer's_License No{€ Pe m'itswlr ex ire on 19s
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, ` -The undersigned Drain Layer hereby agrees to all the terms and cond[iot}s�eE forth`on the permx and the reverse side
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thereof Applicant has received Town Petrnit Noyan�djor`CH D'Permit+No � :
for street excavation { r z �, x � Y
- SPECIAL CONDITIONS J s a% �r . ' `�- �
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Connection Charge Pai `rir' ► Licensed Drain Layer -� `
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Fa $' M Si' issued b r_ �= r '- . r a i
,,, Tax Collector ( g) Y T � f
Permit Fee _ Paid $ ' k
INSPECTION t 2 * � `� y' �"-, " ' t =_
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INITIAL ' '"'�"_ (Sig) -
FINAI _ + (Sig)`
`APPROVED .t :: ' ,- � 9 *s (Date) ' 4
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INSPE (Sig)- .:_ 4 _�.�,;��: L
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