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TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:
South Windsor, Connecticut s-6®9��
List.No.: _
DRAIN LAYER'S PERMITO045
02 April , 19 76
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 50 High Street (Lot 28)
--- -- - on the
side, between
at premises owned
whose address is
and to - X Lay House Drain, - Repair House Drain, Lay-Main, Other
for residential occupancy or use,
with One (1 Family Units with
aeresr
Type of Sewage to be connected under this permit:
SANITARf SEWAGE Wo, INIDUSTRIAL W4STES-.( ), OR ( )
---Connection will be made-withsix-inch-M-'-)=mastic-•pig..-
Permit to,be issued to Ronald R. Iacobucci
s the holder:of brain Layer's Licen§e No. W9�-207427 `. Permit will expire on 0211une 19 76
The undersigned Drain Layer herby:agree5,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
Signed
Connection Charge Paid 03--�23-76 Licensed Drain Layer
- - - Issued..by Melvin Edwards, -Jr. --
Tax Collector
Permit Fee:. Paid $ _ 15•«?
- INSPECTION:__.-__ Check Number: 509
INITIAL / Q (Sig)
FINAL m4-/oZ (Sig) .
:. . - _
- - APPROVED in AwJC /9-/4 (Date)
- - (Sig) -
-- / O&PIMTOR
4
A
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C,1.
o¢/,,z. Q i¢ s
NOTES SOUTH WINDSOR POLLUTION CONTROL
Drawing not to scale. LOCATION go High strr
OWNER
TYPE OF WORK House Conn ct'o
DATE PERMIT 1048 PIPE G"A.t ,S.
INSTALLER Yaco (W -20 42
INSPECTOR DRAWN BY
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT, POLLUTION CONTROL
Datel . . .� .� T ? .1 . . . . . . .
The Sanitary Sewer .XX. . . . . Septic System . . . . . . ... . .
at ,{lp°}, Street
or lot #. .2 . : .. has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepted and Ap proved
Bq" tie t�rinj?:ciw rd J`r:' Date vl7e.
Sanitary Inspector