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Drain Layers Permit 25 Diane Drive (2)
€ ,r " W NOF SOUTH iNt N DSOR � x ©ROAkTMENT OF POLLUAi TION :CONTROL B/P Na.. South Windsor, Connecticut fist No.,.... s: D.R_AIN: LAY.ER'S PERMIT Pursuant to written applicatior,,permilsion is hereby,granted;to the Licensed Drain,.-L Named herein.to perform the.work indicated.,below At-- —._ � on the -. A- side,between' ! � 5 at premises owned by_ T whose address is and to _. Lay House Drain, Repair House Drain, Lay Mairi; _Other rE for og clip ancy'or use;. with - Family Units with . fetes . Type of Sewage to be connected under this permit: SANITARY SEWAGE ( S), INDUSTRIAL WASTBS OR Connection will.be made withCOIN I Permit to-be issued the holder of Dram La er'4 License No. � Permit gill a pos on t 19 r The undersigned Drain L'aXer hereby, agtoe 'to all`the'terms and condittons set forth do the tan the reverse side thereof. Applicant has received Town Permit No. . and/ot- Ii D Permit No. J. for street excavation .` SPECIAL CONDITIONS - Signed k Connection Charge Paid ,,: Licsd,l ain..l5ayer Issued by Tax Collector Permit lee Paid s INSPECTION: Check Number: INITIAL r..•� +� FINAL APPROVED (Date) •• • (Sig) _. INSPECTOR