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HomeMy WebLinkAboutDrain Layers Permit 161 South Satellite (2) TOWN OF SF" ION WI N DSOR DEPARTMENT OF CONTROL South Windsor,.Connecticut S"gQ LfR 7 DRAIN LAYER'S PERMIT NO 447 Ott. 11 , 19" Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named.herein to perform the work indicated below at I(A SMA on the no side, between Xeilbnw 6 Ple""t T&UW at premises owned by 70 11W Goo whose address is and to Lay House Drain, Repair House Drain, Lay Main, Other. , for occupancy or use, with Family Units, with acres. Type of Sewage to be connected under this permit: E SANITARY SEWAGE R Connection will be made with Permit to be issued to— the holder of Drain Layer's License No. "'' ' Permit will expire on It@e, 173 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 z•<.. Connection Charge Paid $10010"73 Licensed Drain Layer P03ro ze NOMB ftlpk A• 1��ftw Jr* (Sig) Issued by Tax Collector Permit Fee: Paid $i LO INSPECTION:. If. INITIAL Oct. 11 1973 (Sig) FINAL Dec. 7 1973 Certified plat plax 8*cevi•dSig) APPROVED (Date) (Sig) "-INSPECTOlt-