HomeMy WebLinkAboutDrain Layers Permit 243 Northview Driive B,ea�N
TOWN OF SOUTH WI N DSOR '
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER ' S PERMIT No 52
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,rye P4r"454'lk 11969
` 409 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 424VJ ^411AOWvo^,+ 34)
,„ At ;- on the
Ili i7' side, between� tdr f,�� #a d fi°,a i .�
at premises owned by A 141. 011WAr hC 00.0... r.", j
whose address is a2YJ ^144.00vidrw �, oyty-
and to it Lay House Drain, Repair House Drain, Lay Main, Other
for Aes Ala 0.4 r`#A" occupancy or use,
with opji ` Cr I Family Units, with acres.
Type of Sewage to be connected under this permit:_
NITARI'SEWAGE INDUSTRIAL WASTES, OR
Connection will be made with & rt Al.j t r C yo"O r
Permit to be issued tom 040AA 00 74 + a* !44P,§4F4- 00.4c rw ct,ptA,
the holder of Drain Layer's License No. Permit will expire on q *it19 ,�y .
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the everse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS
Signed
Connection Charge Paid $ ,004 og� Licensed Drain LAyer r
I �
, 4FsT*4+f° (Sig) issued.hy, s+ss ti. '
Tax Collector f
Permit Fee: Paid $
INSPEC/fTION: cAtroAt g` 3 44
INITIAL (Sig)
FINAL )�j/ (Sig)
APPROVED ( ` (Date)
(Sig)
INSPECTOR
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Goop•, F. Paul & Bovorlx- ,K.
243 Northviow Orin*
Sam
sow
51 __ 63 113
96 341"2
k 20 Residential
.+49
J�V c.
130 8.50 1105.00
l 200.00 200.00
1305.00
x
145.00
X
- 1 400.00 400.00
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