HomeMy WebLinkAboutDrain Layers Permit 371 Foster Street TOWN OF SOUTH WI N DSOR
` DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut f
List No.: _
DRAIN LAYER'S PERMIT Np 1327
19
Pursuant to written_appl' do , pe sionliiss—here y grante the ice d D La r named erein to perform
the work ind' aced belo at l �G
�� Q, .�..
*37
/ on the
J side, between
at premises owned by
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 (\-4INDUSTRIA WPS , 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
JI Signed
�
Connection Charge Paid -'/) Licensed m Layer� V` / 7
Issued by
--- --Tax-Collector
Permit Fee:. Paid $ _ td 0
CFp ` --
�i INSPECTION: Check Number: / 6
- - INITIAL
(Sig)
FINAL (Sig)
APPROVED
(Date)
(Sig)
INSPEC R
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date . . . . d . ...�. . . . . . . . .
The Sanitary Sewer . . . Septic System . . . . . . .
37 1 1,fo-f 1-e'at . . . . . . . . . . . . . . . . . . .
or lot #. . . . . . . . . . . . . . .. has been installed and completed
in accordance with the,Town of South Windsor ordinances
and regulations.
Accepte4�;2Approved
C -�vDate