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HomeMy WebLinkAboutDrain Layers Permit 87 Clinton Drive • 1 TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: _ South Windsor, Connecticut y97- List.No.: _ DRAIN LAYER'S PERMIT N0 580 .Tune. 4 , 19 24 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 87 Clinton Dr. on the soutk side, between_ Crestwood & Avery St. at premises owned by Rota r $er .eat whose address is sane and to X Lay House Drain, Repair House Drain, Lay Main, Other for resid,eatial occupancy or use, with Me Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( X), INDUSTRIAL WASTES .( ), OR Connection will be made with six (6) V.C.P. Permit to be issued to Adam W'eni a wski the holder of Drain Layer's License No--Wq-2o655q 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 Laye Issued by RaSpk A. Starkweather Jr. Tax Collector Permit Fee: Paid $ 4- INSPECTION: Check Number: INITIAL ,.i (Sig) FINALS 7 (Sig) APPROVED (Date) INSPECTOR (six) r N co-! 7 1J NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION $7 G t.i'N T-©N /,J2 OWNER TYPE OF WORK DATE c y 7 PERMIT s7-o PIPE c INSTALLER INSPECTOR aPf DRAWN BY Xs