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HomeMy WebLinkAboutDrain Layers Permit 25 Ravine Road TOWN OF SOUTH WI N DSOR -A r DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut6�g©� List No.: _ DRAIN LAYER'S PERMIT N? 787 29 JaaUga , 19 75 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 25 RaViai 3160d on the N*Uth side,between VaTSWOn IN" Nad 111161114 2004 at premises owned by 0402 R Buts" whose address is and to x Lay House Drain, Repair House Drain, Lay Main, Other for rooldeaetial occupancy or use, with Oao 0) Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (x), INDUSTRIAL WASTES ( ), OR ( ) Connection will be made withaiX+_�a211 (6") 21"tiA age Permit to be issued todatut A t....� - d IS 1',..an aftatmalkiant Ttee the holder of Drain Layer's License No. Permit will expire on 29 Ita >s erse 19- r The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the rev side thereof. Applicant has received Town Permit No. and/or C H D Permit:No. for street excavation. SPECIAL CONDITIONS .� Signed +I Connection Charge Paid 01w2&75 Licensed Drain Layer Input Noe 725 Issued by X01VIa 261KIr"9 Jiro Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: INITIAL i (Sig) FINAL .• (Sig) APPROVED I ,� ;t (Date) (Sig) SPECTOR