HomeMy WebLinkAboutDrain Layers Permit 29 Foster Street TOWN OF SO.PT4. WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER'S PERMIT N360
•
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at i fto on the
side, between_ 9fiklAUVA
at premises owned by - ,�
s
whose address is $lft
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for "Adolusa
occupancy or use,
with no (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made with t1 �
Permit to be issued to I !l3I
f
the holder of Drain Layer's License No �� Permit will expire odZ I
971
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse SO
—
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
SPECIAL CONDITIONS VVIft Zwer to *nt UO ty'sk
Signed'
Connection Charge Paid 67-27-23 Licensed Drain Layer
(Sig) Issued by As jr*
Tax Collector
Permit Femme: Paid $ *
INSPECTION:
f
INITIAL ' ;fY (Sig)
FINAL (Sig)
APPROVED (
- 1i` tom., � (Date)
r
Si
INSPECTOR (Sig)
t
N
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ys �-2S
0
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION F`oSTE' -
OWNER 7-19NLFV , S
TYPE OF WORKp�L
DATE - C _ 1PERMIT 3G0 PIPE
INSTALLER 4)A nT l,/
INSPECTOR c'f DRAWN BY S