HomeMy WebLinkAboutDrain Layers Permit 3 Murray Road (2) TOWN 1, 26-4 WINDSORI' l ' 'A.)
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut i
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DRAINI`LAYER'S PERMIT - 'O 287
19 n`
Pursuant to written application, ermission is hereby granted to,the Licensed Drain Layer named herein to perform
re.f?RA►
the work indicated below at on the
side;betweenat premises owned b /^rr)4,gc5P WAv4c."
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
for "* occupancy or use,
with ?k Family Units, with acres.
Type of Sewage to be connected under this permit:
�SANITARY SEWAGE k INDUSTRIAL WASTES, OR
Connection will be made with � 4
Permit to be issued to `-the holder of Drain Layer's License No. Permit will expire on i9
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The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on thrmit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
aSPECIAL CONDITIONS - r " �'
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Signed J
Connection Charge Paid
g 8 4w;.*fA• Licensed Drain Layer
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Tax Collector (Sig) Issued by .a t� <
{ Permit Fee: Paid
INSPECTION:
INITIAL (Sig)
FINAL4 (Sig)
APPROVED Z2 Ji+wl E 197 (Date)
IF
S-r-CA D ..Jfi . (Sig)
SPECTOR