HomeMy WebLinkAboutDrain Layers Permit 341 Foster Street w TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _S
DRAIN LAYER'S PERMIT N? 902
V2AZ7 , 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 341 Foster Street on the
side, between
It
at Premises owned by Rexe AAEM�IX
whose address is Same
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for Residential
occupancy or use,
with One Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (X ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Six Iach Plastic Pipe
Permit to be issued to Bob DaVIA
the holder of Drain Layer's License No. W-9 205/935 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
J.4 Signed
Connection Charge Paid -7_/4-7S/ LicensA Drain Layer
12Ec 9,2: Issued by T=uk J. Smith
_ ax ollectot -_
Permit Fee: Paid $
INSPECTION: Check Number: ,
INITIAL' /f (Sig)
FINAL (Sig)
APPROVED- �� (Date)
Lf1r. i' (Sig)
INSPECTOR
Ff
v ..
_NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION ,3
OWNER )
TYPE OF WORK
DATE PERMIT 20:2. PIPE
INSTA LE -
INSPECTOR 'DRAWN BY-S4