HomeMy WebLinkAboutDrain Layers Permit 259 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT—OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut st y1
Li No.: ?
DRAIN LAYER"S PERMIT NO 1488
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at srgEk T Ldf - on the
side, between
at premises owned T A I^
whose address is
and to Lay�H/ouse Drain, Repair House Drain, Lay-Main, Other
for K P�S'�G[CYI�)?� occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (%A), INDUSTRIIAL WA�STES ( ), OR
/ ( )
Connection will be made with !o O� V
Permit to be issued to. 6 A VEA 0A/S'7".
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 r � ,
Connection Charge Paid Licensed Drain L er
Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)
- INSP OR (Sig)
ILI
0
Lat-e.ra �
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION 750STEoe S7-RF.E 7`
OWNER 411V G sZg T -0e
A V ld iri. TYPE OF WORK �n�iVEG770A/
DATE -23-7f1 PERMIT ly PIPE 6" C
eh - y�tC�Q 4u6 � I' )S & INSTALLER C o VgN Co MS ,
(/ v INSPECTOR DRAWN BY