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HomeMy WebLinkAboutDrain Layers Permit 50 Kelly Road (2) c � l 'TOWN OF SOUTH WINDSOR ­ ' DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut s-60203 4e • 01 vDRAIN LAYER' S PERMIT N? 258 / !Q /Y J 19 � � fPursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated /below at _50 . K� & ! rl ( 27 ?) on the AlorT N side, between at premises owned by o 'l—V D+ f© whose address is X'tr ... and to ✓ Lay House Drain, f-Repair House Drain, Lay Main, Other for occupancy or use, with /, 0ti/�:. Family Units, with acres. j Type of Sewage to be connected under this permit: (SANITARY SEWAGE, / INDUSTRIAL WASTES, OR Connection will be made with1�t; 5 1`i L f. �►, Permit to be issued to the holder of Drain Layer's License No. Permit will expire on 3 ig 73. The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the per'it and the reverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS �'" '►' �� S A ,F Signed �� f Connection Charge Paid $ .+ ,.(, Licensed Drain Layer '1 /v (Sig) Issued by Tax Collector ' Permit Fee: Paid INSPECTION: a�/►/v�7 INITIAL (Sig) FINAL �";2__ (Sig) APPROVED J J (Date) 7 / Z (Sig) j f INSPECTOR ki M 1 r ,ry G�p,�,✓oa= b� 12 S� �S� P«fio a' st NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 5'0 Kul R p OWNER TYPE OF WORK 'a . DATE ao PERMIT PIP v L INSTALLER L ant So.✓ INSPECTOR DRAWN BY