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HomeMy WebLinkAboutDrain Layers Permit 606 Pleasant Valley r.Pi4- TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL + South Windsor; Connecticut DRAIN LAYER'S PERMIT Pursuant to written application, permission is hereby granted to the'Licensed Drain Layer•named herein to perform the work indicated below at 06 f.enamt vanim on&- on the VW%rtj side, between at premises owned by whose address is and to _Lay House Drain, Repair House Drain, Lay Main, Other , for occupancy or use, with SW (1) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE, MIX- INDUSTRIAL WASTES, OR Connection will be made with ad2w.3mmeh t6"))Q Permit to be issued to 4i#IU, zoos + jem"k h9ft" the holder of Drain Layer's License No. Permit will expire on Qh b"e0116" 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 a Signed Connection Charge PaP$0&16-?2 Kicens6d Drain La er (Sig) ,.Issued by Tax Collector Permit Fee: Paid $'Fr5 W INSPECTION: !n INITIA (Sig) FINAL (Sig) APPROVED (Date) {Sig) IN TOR i N Fl a 4a a So 6' ' DFFP NOTES SOUTH WINDSOR POLLUTION CONTROL Not drawn to scale. LOCATION 606 Pleasant Valley Road OWNER Jack S. Tedone TYPE OF WORK Sewer Hook-Up DATE 10-0 -72 PERMIT 149 PIPE6" Plas. A B INSTALLER Paquette P1-201 92) 0 21 23 INSPECTOR HWL DRAWN BY ME i essessments a-Mi, Charges or SAS '�ARy SF'�dE . SERVICE Town o .Sow � win, sow 1.5!0 Sub 1i��act 'A�e� e 644 r-2 51.3: _ account No,, Sf�� occupant .. ,.-- -- —� Address 3' owner .� Addre s U .. --- �--n r�, y�. .- map A8sesar`s'Locatio �L� a�g Lana ,:;,ecords o V(AuOO- r—Area� zoniag --Ago _ 5 Sketc k ca Ass Asse me t • n .Q �t� ssulent 3i 00t L� 06 'able outage,, , . ?,at�wa, AssesslaMt ...e fib ' of Latera3.s_..�.,..,r�r__ `�'.�ta? Ass�:s�ment Assessment Date s{ : 'Yea,,,_,,,, N°�.,,�,.- D- e f erred. Yeses No,,,_,„„_..r ! Caveat E�.�e� Yes �.._ No�,,.�.. -Paid' iu �u Yes - No,_,...:..-�-. =r .us 5'1. To �� ���� ��� �3st3:�`���e"It' 9 A-nual PaYr nts of $^�ft_d balance led Yeses No_ _.„_ r< .__... ,1-_e z i nectiona Cha— Casa be r lu its . �- Ct�nr ct ioTi Charge (Rest dentia _, S chO 0 - r n�.cra � Area Ccnr.wct j.on Charge .— (Other than tees,, Seb,", Date Coyne=t i©�t c,narg Coll to of e�rer ue i�. ^ �=r.� Ccs���p- App o�e€3 T wn er