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HomeMy WebLinkAboutDrain Layers Permit 7 Thomas Street TOWN OF SOUTH WINDSOR DEPARTMENT OF POLLUTION CONTROL B/P No.. South Windsor, Connemmt List No -��5- DRAIN LAYER ' S PERMIT N" 2370 —'�' 19F1' Pumunn[ to w,inan applic [ , per on hereby gm t d the Liceoaetl Drem Lots, named hero o perfaem din work indicated below at 7 a; T/ta m Ji V on the ame, between ntptemises owned by 4 hs Fred ♦ 4 K/ whose address is And to _Ley House Dais, _Repair House Dtain, _Lny Main, _Other , for cuPan<y a , with Family Units, with es. Type of Sewage to be comecad under this permle SANUlARY SEWAGE ( ), INDUSTRIAL WASTES ( E OR ( ) Connection will he made with Posing to be issued a [he holder of Drain Layer's Liceoae No permit will expire on 19_. The undersigned Drain Layec haaby ogees to all,the terms and conditions set forth on rbe pe[mrt awn [�e reeee a side thereof. Applicant has recei"d Town Patent Na. and/ar C H D Penult Na. for street off avat SPECIAL CONDITIONS selection charge Paidn Y�D _ Srgned� L d Drain Layer " C.�2�lv.a Ieanea Tam cmlmto-CC[[ G ol -ri l 00 pole Fee, Pad $ INSPECTION' Check Nw E,, INITIAL (Sy) /S%/PLJSKI FINAL (Sy) APPROVED (Da¢) (Sig) INSPECTOR N ✓ o y I I rf i 'h- I aa� x , NOTES SOOTH WINDSOR POLLUTION CONTROL LOCATION % $ OW6RR � rry S - TYPE OF WORK DATE �-fl— 1 PERMIT �37a pIYE " " Vc INSTALLER INSPECTOR Ste- DRAWN 6Y C