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HomeMy WebLinkAboutDrain Layers Permit 102 Hillside Drive TOWN OF SOUTH WI N DSOR DEPARTMENT OF P&LUTTON CONTROL B/P No.: South Windsor, Connecticut � List.No.: �cdSO© DRAIN LAYER'S PERMIT NO 579 Jiline , 197_ Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 142 Hillside l Ride Dr. (z cr 5G ) on the eant side, between S l l i van & i gh St. at premises owned by, a Z whose address is same and to _Lay House Drain, Repair House Drain, Lay Main, .Other for residential occupancy or use, with one Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with six Wisch V.C.P. Permit to be issued to_ Ades Wissiewski the holder of Drain Layer's License No. w9—w6559 Permit will expire on Au y 19 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 none Signed Lta� A r--% Connection Charge Paid 6/3/74 Li used Drain Layer Per. R.A.S. Issued by Ralmh A. Starkweather Jr. Tax Collector Permit Fee:. Paid $ 1.5-*QQ INSPECTION: Check Number: INITIAL C 2 7 �� (Sig) FINAL G (Sig) APPROVED l (Date) (Sig) INSPECTOR N !g � c�2 �5 NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 0 .2 OWNER TYPE OF WORK sW�2 �-rryL DATE 6 3 PERMIT u�� PIPE INSTALLER k-1 INSPECTOR ocJ DRAWN BY 6'J