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HomeMy WebLinkAboutDrain Layers Permit 70 Wood Pond Road ro �. WN OF SDUTu u, DEPARTMENT OF POLL n'NDso POLLUTION CONTROL '074 South Windsor, Connecticut B/P No.. DRAIN LAYER :S p LiStNo.: ' 2275 Pursuant to written applicatior the work indicated below at ' P�fission is hereby 19 y granted to the �— Licensed Drainyer named herein to perform side, betwee at premises owned by on the whose address is and to Lay House Drain, --Repair House Drain, with —Lay Main' — Other Family Units, with occupanc Type of Sewage to be connected under t y or use, SANITARY SEWAGE I this Permit: acres. INDUSTRIAL WASTES :( ), OR Connection will be made with Permit to be issued to the holder of Drain Layer's License No. PermThe undersigned Drain Layer hereby agrees to a thereof. Applicant11 the terms and rondit ones setlforth on the atihas received Town Permit No, P11e on for street excavation. permit and the reverse-19 SPECIAL and/or C H D Permit No.CONDITIONS � Connectio arge Paid �� ` - ��j Signed Licensed Drain Layer ax Collector Issued by Permit Fee: Paid $ INSPECTION Check INITIAL Number: 7QYj d_ FINAL (Sig) APPROVED (Sig) (Date) INSPECTOR (Sig) N I I k 1 P NOTES SOUTH WINDSOR POLLUTION CONTROL LOCATION Zd t 6 OWNER OC dd-- ohs TYPE OF WORK e <s r vN�rs° r rA DATE PERMIT 75 PIPE ✓� INSTALLER ya INSPECTOR S C-- DRAWN BY 57