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HomeMy WebLinkAboutdrain layer permit 770 Sullivan Avenue A. TOWN OF SOUTH WINDSOR , DEPARTMENT OF POLLUTION CONTROL B/P No.: South Windsor, Connecticut -List.No.: _ DRAIN LAYER'S PERMIT Np 7i9 01 Nolrulber , 19 74 Pursuant to written applicatior, permission is hereby granted to the'Licensed Drain Layer named herein to perform the work indicated below at 7" SIIMV t Ar VMW on the 3101411 side, between 66 DK" at premises owned by AINN A98 144111140t whose address is awe and to X Lay House Drain, Repair House Drain, Lay Main, Other , for comet w occupancy or use, with OW 0) + Units, with 1.46 acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (X ), INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with 4dX-11 1i (6") 21iit140 yJ90 tb It U kW10 d SUe 914710• it t !� At 8.0'=. Permit to be issued to Add lli* yimniftwm the holder of Drain Layer's License No. '" . Permit will expire on 01 J201tU' 19 74 . 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 d i r Signed AM, QLddft 0.L,4-4AAJ.4-jjQJ� Connection Charge Paid 11.01•T4 Licensed Drain Layer Rs~ ft" QIX/ Issued by Ywlv3 t l Vhrd@o Jiro Tax Collector Permit Fee: Paid $ _ ! INSPECTION: Check Number: INITIAL 11-41 0 43AO �.'. (Sig) FINAL 11-02 8 1430 /i.�+" � (Sig) APPROVED 02 -IF 1 (Date) (Sig) INSPECTOR /A / 3 ¢/Cs �S 9 7, s 7 � — 8 4-' 43 y ©D �3 770 Pz 7-to7 3 947