HomeMy WebLinkAboutDrain Layers Permit 241 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL ' B/P No.:
Li
South Windsor, Connecticut / d �
st.No.: _
DRAIN LAYER'S PERMIT NO 1950
19
Pursuant to written applicatior//, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at f�OT T a S � cS�� # �� on the
side, between
at premises owned by Ca"S�� ,[�t�1� � e G� ��✓'a L° I`-(/ a C
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main, Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL. WASTES �( ), OR ( )
Connection will be made with //I �
Permit to be issued to
the holder of Drain Layer's License No. 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 O. O U Licensed rain!—ayer'--
rzel4r
ssued by - -
Tax Collector
Permit Fee:. Paid $ _�s• d b
INSPECTION: Check Number: 7 7�
INITIAL �.o{. L
(Sig) f=o�� j t
FINAL (Sig) Jul
APPROVED 1 L- (Date)
(Sig)
INSPECTOR
N �
6D
- --NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 7 P 7-
OWNER
TYPE OF WORK
DATE /� PERMIT PPE
INSTALLER
INSPECTOR DRAWN BY