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HomeMy WebLinkAboutDrain Layers Permit 52 Murray Road , TOWN OF SOUTH WI N DSOR DEPARTMENT OF $OLOTION CONTROL South Windsor, Connecticut DRAIN LAYER ' S PERMIT N? 335 24 Jay 19 1/5 Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at `IuA on the — side, between- i e• ti�,c�%+ ,+�; t� ss "tYz # ' at premises owned whose address is : and to Lay House Drain, Repair House Drain, Lay Main, Other for , . 1".i" . occupancy or use, with ,;: v Family Units, with acres. Type of Sewage to be connected under this permit: ( SANITARY SEWAGE, INDUSTRIAL WASTES, OR Connection will be made with •i ? �$ Permit to be issued to -' e:Ti .w* the holder of Drain Layer's License No. Permit will expire on 40 14Ltftber 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 ., s Connection Charge Paid $ l.''j. � `�'r; Licensed Drain Layer (Sig) Issued by Tax Collector Permit Fee: Paid $V awu INSPECTION: ••w INITIAL (Sig) FINAL (Sig) APPROVED3jl j... y 1973 (Date) 10 (Sig) INS TOR . N . r 2v f / i f f J/ NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION l . OWNER QaN E ar �<<A�rc ��� i,� F 7: TYPE OF WORK S Goat �.S DATEa . R PERMIT a3ig PIPEe."P Asn INSTALLER A INSPECTOR DRAWN BY C---