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Drain Layers Permit 165 Oak Street
TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut List.No.: S6/o9<0 DRAIN LAYER'S PERMIT NoW 1137 __..�.. —. 70 Aua ust , 19 76 Pursuant to written applicatior, permission is hereby granted to the Licensed Dra in Layer named herein to-perform the work indicated below at 105_Onk Strept (Lot o) on the ,annt-hvafit side, between Wondl and D ivP & Laural i Strppt at premises-owned A. & Maa J. i whose address is carae , and to X _Lay House Drain, Repair House Drain, - Lay Main, Other for rPsi (,nti al occupancy or use, with one (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ), INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with six—inch (6") nlasti e Pipe to a lateral known as Sta. 19+ 1 , at a Permit to be issued to Adam Wi nn ews i .* the holder of Drain Layer's License No. wq��sq Permit will expire on 30 poto?)er. 19 wry. The undersigned Drain Layer hereby agrees to all,the terms and conditions set.forth on the permit and the reverse side_ y thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS Signed 4 Connection Charge Paid 08::22,,r-76 44. cerise Dr m ayer leer,• 1 1016 Issued by Melvin Edwards, Jr. Tax Collector Permit Fee:. Paid $ INSPECTION: Check Number: , INITIAL -©�i�o Q .'1067 (Sig) FINAL /!99 (Sig) APPROVED cc uST J97 (Date) INS C R {Sig) 2-Fr' Sr.6FYE 68,73r ell v a� NOTES SOUTH WINDSOR POLLUTION CONTROL Drawing not to scale. LOCATION 165 Oak Street (Lot 28) OWNER LEONE Daniel A. & Mary J. TYPE OF WORK DATE _ PERMIT 1137 PIPE� INSTALLER Adam (W -206 INSPECTOR DRAWN BY � _