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HomeMy WebLinkAboutDrain Layers Permit 97 Rosemary Lane TOWN OF SOUTH, WI N DSOR � t ,r DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut DRAIN LAYER'S PERMIT 496 Nov. 7 1973 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at �L*t 0 ?f&oeewry La. on the mouth side, between Christine & Abby Rd. Ext, at premises owned by Donald M. Goodwin whose address is 382 C)akl=d Pd. and to Lay House Drain, Repair House Drain, Lay Main, Other for occupancy or use, with One Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGI), INDUSTRIAL WASTES, OR Connection will be made with eiR Inch (6) plastic pipe Permit to be issued to J.N. Clapp the holder of Drain Layer's License No. W9-2W97 Permit will expire on Jan 7 19 73 . 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_ see attach lettr, t BJd dwr dept. Signed - Connection Charge Paid $ Licensed-.Drain Layer Tax Collector (Sig) Issued by Permit Fee: Paid $ 15.00 INSPECTION: check# 8308 INITIAL i %,/` f .�` (Sig) FINAL (Sig) APPROVED y� � (Date) - (Sig) INSPECTOR s, N u Ys.- NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION Lo j ,ePL. OWNER or✓�vt TYPE OF WORK DATE 0 PERMIT PIPE INSTALLER INSPECTOR DRAWN BY