HomeMy WebLinkAboutDrain Layers Permit 117 Foster Street TOWN OF SOUTH WINDSOR
` DEPARTMENT OF POLLUTION CONTROL gip No.:
South Windsor, Connecticut P S�List.No.: _
DRAIN LAYER'S PERMIT. Tf7g
, 19 �r
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicate$"below at I f 7 4e f7 on the
WI`5X side, between l/a k )p AL
at premises-owned by T o e s)_:> k
whose address is SM M t 17/A
and to _Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with 0&)E Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X), r�INDUSTRIAL WASTES .( ), OR
Connection will be made with �a !�• VO .
Permit to be issued to To z1�
the holder of Drain Layer's License No. Palmer C)t-0 yi:T k Permit will expire on 19
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
Connection Charge Paid J( `F ' Licensed Drain Layer
l
�t Issued by
s f
Tax Collector
Permit Fee:. Paid $ _ I J C3LJ
INSPECTION ,_^____CheckNumber__-
INITIAL 0L r:- (gig)
FINAL ; (Sig)
Z13;te)
y / r
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IN PEC O (Sig)
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0Ve.1 Lam.!\ P; _.. -.. C. c�.•�.,,.,�...'. �. . - -_ --__...
4
0vV+\I'1-; -0117
TYPE OF. ViOPK leeve6e,
INSTALLER
TOWN OF SOUTH WINDSOp
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer
Septic System
at . ,� �' -
. •
or lot #. . . . . . .
. .
in accordance with,the Town of stalled and_ completed
South Windsor ordinances
and regulations.
Accepte nd Approved
By
--=—_ Dare