HomeMy WebLinkAboutDrain Layers Permit 637 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: �S'
DRAIN LAYER'S PERMIT --
N° 1635
Pursuant to written applicatior, permission is hereby gran d to the L' ensed Drain Layer named herein to performthe work indicated below at
on the
side, between
at premises owned
whose address is e I I
6 5 '
c
and to Lay House Drain, Repair House Drain,
Lay-Main, her
for (2161'25
12 occupancy of use,
with Family Units, with
J 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 a
at C:v Io L
the holder of Drain Layer's License No.
The undersigned Drain Layer hereby agrees Permit will expire on 19
to all the terms and conditions set forth on the permit and the reverse side-
thereof. Applicant has received Town Permit No.
for street excavation. and/or'C H D Permit No.
SPECIAL CONDITIONS
Connection Charge Paid 5„ f Signed
�� Licensed Drain Layer
Tax Collector
/ �. Issued by
Permit Fee:. Paid $
INSPECTION: Check Number:
-- INITIAL (Sig)
FINAL
(Sig)
__..APPROVED - ----- - — — —. ----
(Da te)__ _
2��
INS CTOR
From the desk of
IACOBUCCI CONSTRUCTION
7
foss
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I C:X,P DEEP
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