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HomeMy WebLinkAboutDrain Layers Permit 310 Strong Road (2) TOWN OF, SOUTH WINDSOR c3la DEPARTMENT OF POLLUTION CONTROL 37tO" South Windsor, Connecticut DRAIN LAYER'S PERMIT NO 73 ` 1 13 �vuS7" 19_6 Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform the work indicated below at 310 on the A&A:rA side, bettweenkr,-- S T AJ-r----!FY I&At7 A at premises owned by 74<c/411 i �EI►/Ql�TTA ��R.¢A32/ whose address is SAµar and to Y Lay House Drain, Repair House Drain, Lay Main, Other for "S-%b6f4fi1^1L- occupancy or use, with coo Co% Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE INDUSTRIAL WASTES, OR Connection will be made with Permit to be issued to &.4on S' Lvr S.y/46rt"!iA4 j the holder of Drain Layer's License No. )t)-3 s9 6 y . Permit will expire on_ 1.3 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 ,2k.- .0.,7 1 Connection Charge Paid $ yam, e>o Licensed Drain La -aEt= Rrr�4t`tionENT (Sig) Issue < i7�+Psct.� Tax Collector Permit Fee: Paid $ j 4-i y6 INSPECTION: 0j4c4zk "10 INITI (Sig) FINAL (Sig) APPROVED cl / 7v (Date) INSPE (Sig)