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HomeMy WebLinkAboutDrain Layers Permit 382 Oakland Road TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL ` B/P No.: South Windsor, Connecticut List.No.: DRAIN LAYER'S PERMIT NO 1332 �o —/ Z , 19 7, Pursuant to written applicatio 4 permission is ereby ranted to tl�je Licensed Drain Layer named herein to perform the work iindicated low at / on the CC11lside, between a : at premises owned by whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE ( , INDUSTRIA WASTES .( ), OR ) Connection will be made,with— _1419471 Permit to be issued to the holder of Drain Layer's License No. 0 0 U 3 �✓w Permit will expire on 19 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 n J Signed Connection Charge Paid J/3z Licensed Drain layer /U "'-77 Issued by Tax Collector g Permit Fee:. Paid $ _!`�� INSPECTION: Check Number: , INITIAL (Sig) FINAL (Sig) APPROVED •7 7 (Date) PLC INSPECTOR (Sig) A a�y a ' ti 3'1 r E i i JPZ �Q��rtn Cf l A" 24 31 i { N z s x;TH W INOSJ� �'0_I.UTiC N CONTROL I LO(ATI©N 3p). 04� oI olie'l E R Ce _ ri dI 1I T YY 6 E, -OF v s{ Conn ,