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HomeMy WebLinkAboutDrain Layers Permit 490 Foster Street i TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List.No.: DRAIN LAYER'S PERMIT 1626 19 Pursuant to written applicatior, permission is here granted to 1he Licensed Drain Layer named herein to perform the work indicated below at on the �L side, between at premises owned by r whose address is Q and to _-L-L-ay House Drain, Repair House Drain, Lay-Main, Other for LLB p occupancy or use, with 422 Family Units, with acres. Type of Sewage to be connected under this permit. SANITARY SEWAGE ( " , INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with K/l 61 X VC k Permit to be issued to the holder of Drain Layer's License No. Permit will expire on i= 19 The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the 'permit and the3reverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS 9 Signed Connection Charge Paid -el Licensed Drain Layer I =- -4 Issued by �Tax-Collector Permit Fee:. Paid $ _ / 5pn_ 6) INSPECTION: Check Number: 60 l� r - INITIAL (Sig) FINAL (Sig) APPROVED 12_ ,_ J — -jDate)".. (Sig) INSPECTOR NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION a D OWNER TYPE OF WORK A n/ G ,�-7; DATE - PERMIT PIPE ' INSTALLER INSPECTOR RAWN BY ©`