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HomeMy WebLinkAboutDrain Layers Permit 136 Murielle Drive TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut / List.No.: _ t� 6. DRAIN LAYER'S PERMIT NO 1320 9 Y3 - , 19 9? Pursuant to written appl#taticjr, peC� ion 's reby gra ted to Licensedprain /Layer named herein to perform the work indi ated be ow at ►/•rV� dh� (7 n the side, between Ul.' /!� % V 4. at premises owned byV 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 ( INDUSTRI WAS S . ), OR.( ) Connection will be made with Permit to be issued to the holder of Drain Layer's License No. Permit will expire on 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 Signed Connection Charge Paid 0 i sed Drain Issued b Tax Collector y Permit Fee:. Paid $ INSPECTION; Check Number: , INITIAL (Sig) FINAL (Sig) APPROVED — Zy_77 (Date) (Sig) INSPECTOA LO(ATI©N d i�✓/f r .< , �� WS TIALLE R z P ti TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date The Sanitary Sewer , . , Septic System at (:-� . . . . . . . . . . ': . .! !. . . . . . . . . . or lot # . • . . . . . has been installed and completed in accordance with the Town of South Windsor ordinances and regulations. Accepted and,-Approved L— By f Date