HomeMy WebLinkAboutDrain Layers Permit 617 Foster Street (2) .TOWN OF SOIj
TH WINDSOR
B/P No.: _�-------
DEPARTMENT OF POLLUTION CONTROL ,
South Windsor, Connecticut List.No.:
DRAIN LAYER'S PERMIT a 588
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ranted to the Licensed Drain Layer named herein to perform
pursuant to written application, permission is hereby g on the
the work indicated below at
aside, between--:7�
at premises owned by
whose address is Lay Main, Other
and to Lay House Drain, Repair House Drain, occupancy or use,
acres.
for
Family Units, with
with
red under this permit:
Type of Sewage to be connec
SANITARY SEWAGE ('�[ ),
INDUSTRIAL WASTES ( ), OR ( ) ------ �
Connection will be made with
yl 19
Permit to be issued to permit will expire on
er's License No. rmit and the reverse side
the holder of Drain Lay rees to all the terms and conditions set forth on the pe
The undersigned Drain Layer hereby ag
thereof. Applicant has received Town Permit No:
and/or C H� Permit No.
for street excavation.
SPECIAL CONDITIONS
r`
Signed J-
Licensed Drain Layer
Connection Charge Paid
laws J
V*
Par Ise ,
Issued by �
Tax Collector Permit Fee:. Paid $ __ _--•--------
INSPECTION: Check Number:
(Sig)
INITIAL (Sig)
� 3
_ FINAL (Date)
APPROVED .-..
E (Sig)
INSPECTOR
N
1
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SOUTH WINDSOR POLLUTION CONTROL
NOTES LOCATION G
OWNER
TYPE OF WORK tS `�✓� '�`'
DATE H' PERMIT It PIPE VC°
INSTA LER it,'%o clavows
INSPECTOR S' DRAWN BY S
WIA
To help locate your sewer connection on the main line, please show
where you would like the connection by drawing a line From the house or
the septic tank to the me-in line in the street. Also, install stake in yard
to indicate line as shown on sketch IF you have any doubt please contact
the Town Engineering Department
Please draw important information such as driveways... large trees
and other obstructions.
PLEASE MAIL THIS FARM IMMEDIATELY TO:
JAMES'S. MINCES ASSOC. , INC.
The Exchange
Farmington Avenue
Farmington, Connecticut 060.32I.
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