HomeMy WebLinkAboutDrain Layers Permit 130 Dogwood Lane TOWN OF SOUTH **LNDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 224
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b"Jo Ny 1 24 19 73
�F Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 1. _ * ) t 8 ( on the
ttk side, between Pykek Drivo "d Gullwj DAy
at premises owned by it
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main; Other ,
for r*AW-mttial occupancy or use,
with W Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAGE) INDUSTRIAL WASTES, OR
Connection will be made with. ¢` gk (6") PUSUG li
Permit to be issued to FORO Kucza
the holder of Drain Layer's License No. Permit will expire on 24 July 19 7
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 *r a crusk and back fill tie to .
Signed
Connection Charge Paid A 0 . ..73 Licensed Drain Layer
S. Nexis (Sig) issued by e1 &. Jr.
Tax Collector
Permit Fee: Paid $ 15*
INSPECTION:
INITIAL (Sig)
FINAL (Sig)
APPROVED 14m.Yt 1973 (Date)
M ari turd a Jr. (Sig)
INSPECTOR
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