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HomeMy WebLinkAboutDrain Layers Permit 740 Deming Street TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL b B/P No.: South Windsor, Connecticut List.No.: S(o 1 l 4 �3S -t'-y0Z� DRAIN LAYER'S PERMIT — inE N° 1157 15 October , ig 76 Pursuant_to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the Word aOcated below at 740 Deming Street on the north side, between t at premises owned by Hectorine Lavertue whose address is same and to X Lay House Drain, Repair House Drain, Lay Main, Other , for residential occupancy or use, with one 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 inch Mastic pipe Permit to be issued to John King the holder of Drain Layer's License No (P/ &(0 Permit will expire on 15 December 19Z, 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 w Signed �-- Connection Charge Paid Licensed Drain Layer 1028 Issued by M. Timothy Friend Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: INITIAL FINALLP APPROVE Ta.g -g�-c, /C /g (Date) (Sig) INSPECTOR 1 Qa✓ N 34 ,a - c 'i 1 i r x 5 "jRCT Iq I NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION OWNER •r d 7/N1 /� U+ r? TYPE OF WORK DATE!'c-le- G PERMIT it i PIPE INSTALLER %e ii " 1<, o G INSPECTORk,V,C#w DRAWN BY ,9