HomeMy WebLinkAboutDrain Layers Permit 133 Oak Street TOWN OF B.,2,ATH WINDSOR
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DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
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DRAIN LAYER 'S PERMIT N� 418
Sept 17 , 19 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 133 Oak Btu ("-,r 3 Q
on the
e— side, between jag rel H rah sto
at premises owned by
i �
whose address is same
and to X Lay House Drain, Repair House Drain La Main, Other
for reef d4stial '
occupancy or use,
with 08e 0) Family Units, with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE) INDUSTRIAL WASTES, OR
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Connection will be made with NIX JA*h (6) P astir
Permit to be issued to
the holder of Drain Layer's License Novl— � Permit will expire onj�pr� _
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_Driy la yor to VD9 elUSh and bitektill )tie talk
Signed ff
Connection Charge Paid $09'-17-73 Licensed Drain Layer
Per. 1C, Moms
Tax Collector (Sig) Issued by mph Q. stsElleithe2' Jr.
Pe mit Fee 1P�S $ 15.00
INSPECTION: ,
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
INSPECTOR (Sig)
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N s 33_ -15��s
A
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NO—ES SOUTH WINDSOR POLLUTION CONTROL
C� LOCATION 3
OWNER
TYPE OF WORKrat
� 3 5 -/ DATE i � PERMIT PIPE
INSTAL sa,v
INSPECTOR �f'J DRAWN BY ef'l