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HomeMy WebLinkAboutDrain Layers Permit 80 Diane Drive (2) TOWN OF S0j1Tq Wl N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT X© 442 00t. 3 , 19 73 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 80 4boo ]*; on the side, between DLMA & aww"0t at premises owned by w UM Seal= whose address is and to x Lay House Drain, Repair House Drain, Lay Main, Other for r*44ft'wl1 . e 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 IdX iu4* (6) Aw"A Id3a Permit to be issued to J the holder of Drain Layer's License No: Permit will expire one 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 DrLft to pwV{ OVWA 1d QUA took ��X.�p Signed ' Connection Charge Paid. $ 09- '73 Licensed.Drain Layer por 3* *"S (Sig) Issued by ftiph A, StUlam'lther Jre Tax Collector Permit Fee: Paid $ INSPECTION: INITIAL ,' J /j (Sig) FINAL tt (Sig) } APPROVED '` 1 -►' / > � (Date) f (Sig) INSPECTOR