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HomeMy WebLinkAboutDrain Layers Permit 70 High Street TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List No.: _ DRAIN LAYER"S PERMIT NO 1205 " 3/— , 19 Pursuant to written applicatyor, perm` ion i 6reby tired to t e Licensed QIP i Laye named he ein to perform / J the work indi d be o t � + C` on the k side, between A,4 °/ at premises owned b whose address is and to Lay House Drain, Repair House Drain, Lay-Main, Other for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE , INDUSTRIA �'S S ), O , ( ) Connection will be made with fi Permit to be issued to the holder of Drain Layer's License Permit will expire on 191 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/ C D Permit No. for street excavation. , r QQ SPECIAL CO TIONS `� C/ G .�l."> � �,�� r141111-1-eyo r Signed Connection Charge Paid Licensed Drain L er - Issued by Tax Collector J Permit Fee: Paid $ _ / S ' ©d INSPECTION: Check Number: 0 INITIAL (Sig) FINAL (Sig) APPROVED `lT —7 (Date) ( C/ (Sig) r APMP, TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . .6_1/ -77. . . . . . . The Sanitary Sewer . . . . . . . . Septic System . . . . . . ... . . 10;7G at . . . . . . . . . . . . . . � .`� . . . . . . . . . . . . . . . . . . . . . or lot #. . . . . . . . . . . . has been installed and completed in accordance4ththe Town of South Windsor ordinances and regulations. Accep d d Approved By G^ d 3 / Date 4�����< / Ile,