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HomeMy WebLinkAboutDrain Layers Permit 196 Skyline Drive fjr2 TOWWOF SOUTH WI N DSOR =�► DEPAIZ MENT OF POLLUTION CONTROL t_ V South Windsor, Connecticut B/P No.: List.No.: S=641 92 g • DRAIN L�4YER'S PERMIT ` N° 916 't9 Auk t _; 19_, tiey - f Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to fserform the work indicated below at LONAMM CM VOR3 a. (jai ") /_96 on the side, between at premises owned by } whose address is and to _,XLay House Drain, Repair House Drain, Lay-Main, ;Other for residiMtd a7 , a, occupancy or use, with Family Units, with acres. Type.of Sewage to be connected under this permit: SANITARY SEWAGE (X), INDUSTRIAL WASTES OR ( ' ) Connection will be made with SIX-indl (gtf� 1?�At8i jtt . Permit to be 'issued to 0,r01abal7 the.holder of Drain Layer's License No. Permit will expire onQ Qa; � The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and,the reverse.sid thereof. Applicant has received Town Permit No. and/or C H D Permit No. '` for street excavation. - z p,. F? Signed Connection Charge Paid 08_1 r75 Li rain Layer - -. Rea. 838 Issued by molvilk YAWa is* Jr* Tax Collector Perpkit Fee:. Paid $ 4�•� INSPECTION: Check Number: Pal t �NOW 0 9?( INITIAL r (Sig) FINAL (Sig) APPROVED (Date) 1 SPECTOR (Sig)