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HomeMy WebLinkAboutDrain Layers Permit 199 Skyline Drive 4 .. TOWN OF SOUTH WI N DSOR DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut List No.: DRAIN LAYER'S PERMIT N? 844 99 Sr<y �;�� D �� 4--28-75 19 Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at Lot 74 Sky view �• '� on the side, between at premises owned by whose address is and to X Lay House Drain, _Re pair House Drain, Lay Main, —Other- for R*_sidenti.al occupancy or use, with C7Ar 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 lath Plastic Pipe Permit to be issy, Vincent Ve6spa Jr* the holder of Drain Layer's License No.W_V 20615 Permit will expire on 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 Signed Connection Charge Paid Licensed Drain gayer Issued by Freak J. Sm3th , �! Tax Collector Permit Fee: Paid $ INSPECTION: Check Number: �¢ INITIAL (Sig) FINAL (Sig) APPROVED (Date) (Sig) INSPECTOR