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HomeMy WebLinkAboutDrain Layers Permit 383 Oakland Road .7bWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL 9, South Windsor, Connecticut ` DRAIN LAYER' S PERMIT List a 5Nwr sir 4 t�jai , 19—'23 z4'e7 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 03 QWNMij on the rtrl� side, between 3' A e0d � 3-1: AM041 at premises owned by jOee90 youe .. whose address is and to X _Lay House Drain, Repair House Drain, Lay Main, Other , for Maid !llllll occupancy or use, with eas W Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGF), INDUSTRIAL WASTES, OR Connection will be made with $j%-jWk(6K)—pla"1e�pe Permit to be issued to 22wit F. Iis * 1/`/e Ilu'lt� jj�1e�a��;Oe the holder of Drain Layer's License No. Permit will expire on..V 19_ pft 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 Dram 1"Ar to P" iL-,@kft21 wwt;e ta-*- Signed Connection Charge Paid 07--13-93 Eicense ~rain Layer r hm Z* X=4 (Sig) Issued by News zhulde jr, Tax Collector Permit Fee: Paid $111 -� INSPEC ON: �_: }:. INITIAL (Sig) FINAL (Sig) APPROVED (Date) — a- (Sig) f P �OR s N oQ Q0 NOTES SOUTH WINDSOR POLLUTION CONTROL A LOCATION 363 40,Av.,-Ar%z, a A CuEswexx'r �l F6�'r s�a�ue.�ry fs..�r` OWNER TYPE OF WORK C d �o M �®�'�� ' DATE ® -34 3 PERMIT 339 PIPE u �e+s,. INSTALLER INSPECTOR DRAWN BY