HomeMy WebLinkAboutDrain Layers Permit 351 Foster Street " TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut 2 List.No.:
DRAIN LAYER'-S PERMIT Np 1326
19
Pursuant to written applic r,jeermission is hereb gran d oreL�i sod fain La r h rein to perform
the-work Indic ed below-at/ on the
CV side, between
at premises owned by
whose address is
and to Y—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 ,JNDUS AL W ), OR
Connection will be made with
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 l Licensed rain La r
- Issued by
Tax Collector
Permit Fee: Paid $ _ 6 d
INSPECTION: Check Number:
INITIAL (Sig)
FINAL
APPROVED 20 —7 (Date)
(Sig)
INSPECTOR
'
y 1
6
r
1
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH 'WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . & ?�. . . . . .
The Sanitary Sewer . . . . . . . . Septic System . . . . . . . . . .
at . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . .. has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepte nd proved
B Date
Y