HomeMy WebLinkAboutDrain Layers Permit 70 Sunset Terrace . . . • rw. WvWlpqn\Yawn
DEPARTMENT OF POLLUTION CONTROL
South Frusta, Connecticut Est No.: /iL,"s '
Ge NO.: _AM>�J�.
DRAIN LAYER' S PERMIT NY 1389
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Pwamnt to written applicaaiop permission is hereby grenaed to the Licensed Ratio Layer named herein to peafvm
6, war indicated bet 70 SaAKrer
`aide, Iacocca the
o
.r Premise, awned by Alga f51v7—A
.who„ addraa, is .S arms G
and to Dltay House Deaio, _Repair House Drove, _lay Hein, _Other
for wish
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wfrb 0 B — 1 ) , =napanry or a,e,
Famuy Dnaa,
TrPI of Sewaae to be connected under this
SANITARY UWAGN ( ), INDUSTRIAL WASTES (permit:I, OR ( )
Connection will be mad, with
Permit to eebauld to AD<F 1 WIS NIg-WSKI
the holder of Dude Layer's License No. Permit will "Pare on IgJ_
The undersigned Drein Layer hereby It;,, to ell ea the terms and conditions set forty on tie perml—t Ian a e :e o Side
thereof. Applicant Ices received Town Permit No. and/err C HD Permit No.
Far street axes
SPECIAL CONDITIONS
Connection Charge, Paid Siege
Li Its,
r m Layer
fax Cdleceor lateral by
Permit Fee: Paid S ._�L_ m
INSPECTION: Chola Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (pace)
PaSPECTOR (SIR)
1
N
� £ r
� � m
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BS
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION S, <
OWNER N1P
TYPE or WORE SEwsz a+
DATE 9 e -,8 PERMIT PIPE
INSTALLER aAa
INSPECTOR Yxp DMA BY ➢<