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HomeMy WebLinkAboutDrain Layers Permit 65 Highland Drive (2) ~« ` TOWN OF 501ftH `WINDSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut y�4, DRAIN LAYER'S PERMIT 143 119 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below U&INA CLOT 9$� on the side, between Wwea�ut 1"�rrOv� �� at premises owned by— whose address is a.ra and to _Lay House Drain, Repair House Drain, Lay Main, Other for 1 occupancy or use, with gbL0 X Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE, XX INDUSTRIAL WASTES, OR Connection will be made with ,.,m&h 1.6N A t. #s pipe Permit to be issued to_VAte the holder of Drain Layer's License No. Permit will expire one -� 19 The undersigned Drain Layer hereby agrees terms and conditions set forth on the pTrmi a reverse si thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS A^' • / '.mil� . Signed, a Connection Charge Paithinom Licensed Drain, ayer NMI (Sig) issued by &W-11 E&MV40- 02. Tax Collector Permit Fee: Paid $ ��_ INSPECTION: ft*Ck *ftbW1 11" 11-10-?a INITIAL (Sig) FINAL _�.. ^' (Sig) APPROVED 05 My$- 1973 (Date) 70 (Sig) INSPECTOR �� fY/G f��nlB �( t� - ..,_�.�-.a._...�..�..�,,.. .�.�... � � v� 7� N NOTES SOUTH WINDSOR POLLUTION CONTROL DrawiAg not to sca lm. LOCATION 65 Highland Drive OWNER Arthur H. French TYPE OF WORK Sewer Connection DATE 05-05-73 PERMIT 143 PIPEb" P.V.C. INSTALLER Vito W9-20592 INSPECTOR ME DRAWN BY ME