HomeMy WebLinkAboutDrain Layers Permit 300 Diane Drive --� 4 -TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
(01+ beep Ust .s 9- 31
DRAIN LAYER'S PERMIT X? 197
7S
94 119_ 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at Dion* Dmive (lot 51) on the
goal: side, between �, t ar sad
at premises owned Rommogd. Jgoquos
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for �;i. occupancy or use,
with �� ' } Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with - fi le—la h (6n) njam#-ia
Permit to be issued to ja s A01
the holder of Drain Layer's License No. 1-9 AD618A Permit will expire on 14 July 19 73.
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 $n Lwyer t,o yWia. *rush and boakf ll Mtiq tanic.
Signed
Connection Charge Paid + / ,_ Licensed Drain Layer
(Sig) issued by 4"4wardst Jr.
Tax Collector
Permit Fee: :Paid $ 1%00
Cheek NwAbort —i�V�' aver.re.aw.nuwi.r�r
INSPECTION:
INITIAL v2 s' 4;i?— (Sig)
FINAL (Sig)
APPROVED (Date)
7,
(Sig)
TOR
A
- Z7
07
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