HomeMy WebLinkAboutDrain Layers Permit 32 Murray Road (2) aary
TOWN OFI H WI w DSOR
DEPARTMENT OF' P L UTION CONTROL
South Windsoiy donnecticut
DRAIN LAYER'S` RER`MIT p 236
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Purglffln €if�1�1�,I E1P3h A� fi# sras �? �eby r�,t€ tte L,'ce. Ds(� g P_,dI A , g4� l >yQFnFt3F1retl to perform
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brls �" xo.no�. -
the work indicate�IRlq)v a f' I.,,s.f.fl;_+ ns f 91CY,l irlJ :3 t fniolftor
.02 rfll� i tl;T
on the
s]��, h'�'��v'erett :,r I _ � � •.f• ;�.tLi:isZ�nt
:P0[dclrit ,_1'Ji.).. 2. Iti`-.lRfi 102.:;.i11 tl
at premises owned by
whose address is r;.'I 0_1 7'
rlsrl2 bnfi ihor17 IF 73b,u 5iio b
and to 'Lay House Drain, Repair House Drain,
--.,�L?:3' Ma�i?,sc„�-:y-:,�04h�F_- ,+,,•,,, .� ist Hoar r{a �rl ,
for
ifupency or use, .
with 0 9ri7 ii7i v IIiyL.I rr,o l fTx „r =milts i I'l lct i 1 ,
a14i 1 ' ero iris jct .noo
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Type of Sewagcp{e to be connected under this permit
Aniob Io ,"r)f Uo7 1c a�tI itz
i'-', .��� .3 tJ)')1 .' .:,I(SANITARY SEWAGE" ll!J ;ni nn+ rirr ,� ) ,i) INDUSTRIIALLWASTE,S, OR tl=_.. 1 s merit c, ,r 3 9tis silo+F unf�
Connection will be made with tri't" '-j t i, ;t-i
3(l7 11ip"1; b, 3ni.ItjO
ril 2f1U17fi7ri3?'lIQ:3' itir f' s:ii .� I t 'lC r. - -
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�0 14 vse 00
. 7i;- 7 a•LI?1fC�(t A t'' J'l , �J1 t7 ri + if 1. Ct ?7�� ..0 .: t.a.Clilt � -
the holder of Drd2a .e elr's lcrue f 1 !axs
T� .tF��:F3 V f '-+� ir:.:7+��b ..+ir f-:'�1.f.:'. ��r�tti�3'a�lle�p�}Ano_,r7�tT �xuE�&9l� lei
The undersignedlDmimL&t ennhere*agredssto;all therrterma a s IeQ d� tun rijet,e$oa a)c.
EaMi44(h0goTmrse side
thereof. Applicant has received Town Permit No `�I' 1 if I1' p�_:}. ,-s ,m b rfF;g
and/or C H D Permit No.
for street exQ&vUjW4ywo I' )r(7
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SPECK nrr zz2ol r it
C� 5d3 io 70 jlwoT !o
• ❑isI r�7�ir y
�=; x 3 J i ; :% h9g�ll&
29LIr/(IIf 7rI0I ME
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V
9t17 i.0 •.�J1Jq G1'7 �rfibUl 'I I.) iF )..7 ,? t
1102 d to ,-Alow 9rb IT f)rIr IO no -
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b9Zolq s 'Yi7»Iibni �� Isa31 Ir:7.[ I7,r.
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)f 0_Yfr°,,._i]G L6 ',t ni 1 3I1t.+-.jG ..^O:I9r .z Jf h£.97771.5..,. Sri L' �IIf1t1Iil -
i3issgg2 zs , 3 q i; 7ltio 7, �t. ,?Sl$nec�.• w ,
Connection Chargea I. � f�.
7 e 51 s <.s $'e.d rajn1 e
>A (Sig) Issued by PW t, 4
Tax Collector
Permit Fee: $
INSPECTION: ewlrr
INITIAL (Sig)
g
�. FINAL
(Sig)
AFPROVED 30 Date
S1g)
INSPECTOR