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HomeMy WebLinkAboutDrain Layers Permit 21 Murielle Drive ' TOWN OF SOUTH WI N DSOR " DEPARTMENT OF POLLUTION CONTROL B/P No.: Li South Windsor, Connecticut / ,J O st.No.: _C� DRAIN LAYER' S PERMIT NO 1359 , 1977 Pursuant to written applicLir�ermission is hereby granted to th Licensedrain Layer named herein to perform the work indicated be w �© / L�/T �� 2 on the d� side, between at premises owned by v e W whose address is and to - �CLay 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 WA ), 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 arh L-,N Connection Charge Paid � Litwosdd Drain Layer Issued by Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: INITIAL (Sig) FINAL 2 (Sig) APPROVED l —/J - `7� (Date) (�-0 J Gast (Sig) INSPECT R 1_Z� Iz��161 I Novs� Co r�EcT�or� -P P 431 NAuR1E: LL Epr ��� f i 21 W7' 3 { d i SOUTH 141 SOP a0i_i_i1Tot`;N CONTROL LOCATION PIPE rim, ALL h {ti ��� a TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 DEPARTMENT POLLUTION CONTROL Date . . ./� ��,7 7. . . . . . . The Sanitary Sewer . . . Septic System at -7�V . . . . or lot #. . . . .30 . . . . . has been installed and, completed in accordance with the Town of South Windsor ordinances and regulations. Accep e and pproved By Date