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HomeMy WebLinkAboutDrain Layers Permit 125 Oak Street (2) TOWN 0& SQUTH WI N DSOR I DEPARTMENT OF POLLUTION CONTROL = - m ---rw --- South Windsor, Connecticut DRAIN LAYER'S PERMIT 'NO 400 Pursuant to written application,permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at—lag Qg& &j on the nor" side, betweenjV ft.rj 466001 at premises owned by_*.•�- a .z_�_._ whose address is wi and to X _Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with !!ib Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGk, INDUSTRIAL WASTES, OR Connection will be made with 8�,4w jkNh _ r. pe Permit to be issued to the holder of Drain Layer's License Ndkj16jjASW Permit will expire q 19 The undersigned Drain Layer hereby agrees to al the terms and conditions set forth on iR� and the reverse s' — thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS Do" Ur to pups oil ad bawl, Pam. t k Signed Connection Charge Paid Licensed Drain Layer ftre s Hems (Sig) Issued by--2034 -.A,-24--i— k w i ft Tax Collector Permit Fee: Paid $131W INSPECTION: IF 120 INITIAL �� (Sig) FINAL (Sig) APPROVED © -- O-7 (Date) -+ (Sig) INSPECTOR