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HomeMy WebLinkAboutDrain Layers Permit 170 Laurel Street TOWN OF AQQTH WI N DSOR DEPARTMENT OF }POLLUTION CONTROL 7��i �.. �P South Windsor, Connecticut si DRAIN LAYER' S PERMIT List No.: 8-6016?NO 229 25 May 119 73 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 170 Laurel'Aby t (Lot 46) on the aQti$.� side, between WCOWaa49' DrIra ald Oak Strast at premises owned by Jhi�. 34 a�tk.�ra. whose ad Tess is and to x Lay House Drain, Repair House Drain, Lay Main, Other for t'e1�3 f�Ott�ii occupancy or use, with 0" W Family Units, with acres. Type of Sewage to be connected under this permit: (SANITARY SEWAGE INDUSTRIAL WASTES, OR Connection will be made with_ mix-rose (6++) Permit to be issued to Y$t0 P. ©GVMmk ' the holder of Drain Layer's License No. V9'Fe 09x-6 . Permit will expire on 25 J%lb 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_ Uyer pmy. OCUsh Md JbaekfM e e tmk. F Signed Connection Charge Paid 7S 05-Q2-7,3 Licensed Dt n Layer t� �>� (Sig) issued by 11401YU 1i�l �I• Jr, Tax Collectorr Permit Fee: Paid $2s3.oQ0� fi t*ek NUMbers )dtd INSPECTION: �1ate3ude� f� for set #peetlox., INITIAL (Sig) FINAL (Sig) APPROVED HXq. 1973 (Date) ) elria G. Stead$ Jr. (Sig) INSPECTOR N NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION /'gip � OWNER -Z- ,,tj S TYPE OF WORK �✓t� DATES PERMIT PIPE INSTALLER INSPECTOR DRAWN Iff1