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HomeMy WebLinkAboutDrain Layers Permit 26 Pine Knob Circle _ .T TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut S-6M42 DRAIN LAYER' S PERMIT N© 368 AUS. 1 1973 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 26 Pine Kaeb Cir. C L,-rsq on the ODUtk side, betweenPiae Kaeb & Wo"Inzi St. at premises owned by DeSuli jjanlllett whose address is we and to X Lay House Drain, Repair House Drain, Lay Main Other for relideatial occupancy or use, with Ose (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE, INDUSTRIAL WASTES, OR Connection will be made with_�ii_� izeb (6) zlastie Pigs Permit to be issued to F. KUB Sa the holder of Drain Layer's License No-"tWIA Permit will expire on Oat. w 1�_ The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the perm and the reverse side thereof. Applicant has received Town Permit No. and/or C H D Permit No. for street excavation. SPECIAL CONDITIONS mitt layer to pM. CrtlWk and baekf 'll septic tsz k Signed ---- Connection Charge Paid (8--09-73 Licensed Drain Layer Per. E. ftnia (Sig) Issued by Rlapk A. Starkweatkm Jr. Tax Collector Permit Fee: Paid $1S.N akeek 1� - -� INSPECTION: INITIAL (Sig) FINAL (Sig) APPROVED (Date) (Sig) ` INSPECTOR N a e� 44 NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION 6 %A/F 91vaa C1,12 OWNER 6afilg4p &AIMIP-1-r TYPE OF WORK SE AT SAL DATE o - -? PERMIT I& PIPE [q»rc INSTALLER r c INSPECTOR ej, DRAWN BY fl