HomeMy WebLinkAboutDrain Layers Permit 300 Rye Street I W DOOR.
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n UION`CONTROL
` South Windsor, Con cticut `. yA
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4 PVrattsnt to written n� licat on;permission is hereby granted to the Licensed'Drain Layer named,herein to per
the work indi ated below-at on the
MIftIh side,-between•'
t at premises owned by � _ .w. .� �
whose address.is 1
and to T-ay X$¢use Drain, _Repair House Drain, Lay Main, Other
r
for
- _ occupancy or use,
with Family Units, with
tom'•. :. acres. T
Type of Sewage to be connected under this prmit:
SANITARY SEWAGE }
INDUSTRIAL WASTES, OR
Connection will be made with g
Permit to be issued to
r
the holder of Drain L`ayer's License No. ffi i.t permit will expire on 19
Th�'ui}dersigned Drain Layer.hereby agrees to all the terms and conditions set forth on the permit and,the reverse side
thereof. A`pp cant;_has received Town Permit No. and/or C H D.Permit No..
Ior str e� xtiri�': f
S IA DITIONS
i
Signed,
Coriiiection Charge aid Drain Layer.
(Sig) Issued by 4f'
Tad s,
oIectorII
r
Krmoit Fee: Paid
Ki
(Sig)
PINA r (Sig) ,> _
f y
PPROVE ' �! (Date) { #
.. _;
ASSESSMENTS AND CHARGES
FOR
SANITARY SEWER SERVICE
� Town of South.Windsor,
o1540 Sullivan Avenue 644-2511
Department of pollution Control, Vibert Road, South Windsor 289-0185
Occupant t,
Address
Owner ` ' Account No.
Address
Assessor's Location:
Land Records: Lot#
Map Block
Volume
Zoning: ;�:�1,.a .:. Page
Parcel
l
Use: i
i
Area - . �Acres
Sketch _ 3
a 8.
(Not to Scale)
l
Assessment Computation:
Assessable Footage
Number of Laterals x Front Foot Assessment
x Lateral Assessment $ = $
_ Total Assessment .-. ._ _ $ --
Assessment Due Date
Deferred
Caveat Filed Yes
Yes No
Paid in Full
To be paid in installments Yes No __�
No
9 Annual Pa Yes
Payments of No
Lien Filed plus 5% on unpaid balance
nection Charge C Yes No
Computation:
Number of Units:
idential, School, or Church) x Unit Connection Charge $
Number of Acres: _$
than Res., Sch., or Ch.) -
----�- - X'Area Connection Charge
on Charge Paid in Full: _ $
nt-& Connection COiiector of Revenue ate
Charge Computations Approved
f Town Engineer
5