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HomeMy WebLinkAboutDrain Layers Permit 97 Orchard Hill Driv (2) TOWN OF SOUTH WINDSOR . DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT p 467 '- - --' 1 9--- Pursuant to written application, permission is hereby granted to the Licensed Drain Layer nadled herein to perform the work indicated below at on the side, between at premises owned by tY.1 t+x' whose address is and to Lay House Drain, -.Repair House Drain, Lay Main, Other for occupancy or use, with Feu + Family Units, with acres. i Type of Sewage to be connected under this permit: (SANITARY SEWAGE) INDUSTRIAL WASTES, OR Connection will be made with Permit to be issued to 1�.. the holder of Drain Layer's License No. Permit will expire on 19 The undersigned Drain Layer hereby agrees o.all the terms and conditions set forth on the permit an thfe reverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS_ haw Signed er Connection Charge Paid WW" Licensed Dr n Layer I Tax Collector (Sig) Issued by Permit Fee: INSPECTION: - I INITIAL (Sig) FINAL (Sig) APPROVED (Date) c (Sig) fi j