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HomeMy WebLinkAboutDrain Layers Permit 114 Clinton Drive TOWN OF " D-"rfl WIN DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut .. iD1G NO.:�! S-�`!`�! DRAIN LAYER'S PERMIT © 223 fa•7 f W 64r4rp 3 Plial 19 ?3 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 914 iota 1 yo (Lot 3 on the omtk side, between 0-reatwood Drivi Bad die 1 at premises owned by � � rgar�f I whose address is_ "16 and to X Lay House Drain, Repair House Drain, Lay Main, Other for 9dSi occupancy or use, with CA# (I Family Units, with acres. Type of Sewage to be connected under this permit: (SANITARY SEWAGE) INDUSTRIAL WASTES, OR Connection will be made with six-t<sch (6") Vxop. Permit to be issued to Adam OWii the holder of Drain Layer's License No._ "!! Permit will expire on 23 4u 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 i* '*r tO * OrUah and baekfiU SOrtle w Signed d. 1:�� , t &::: Connection Charge Paid 05-23-73 Licensed Drain Layer * (Sig) Issued by N*Ivix Uvakdal Jr* Tax Collector Permit Fee: Paid $ 1-5*00 Nato 't INSPECTION: - INITIAL _ ....--• " (Sig) FINAL �.^----- (Sig) APPROVED 2 z (Date) (Sig) INS ECTOR k; _ J/¢_- C/r7 -