HomeMy WebLinkAboutDrain Layers Permit 381 Foster Street A TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _-.(/2L��
DRAIN LAYER'S PERMIT NO i328
' 19
Pursuant to written applicPtiorL� permission isheceby ranted t Lic sed in yer name to perform
the wor indicat d below 37 (j �/ 1
p� on the
side, between
at premises owned by
whose address is
and to 4Lay 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 ( INDUSTRI WASTE 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
r
Signed
Connection Charge Paid / Licensed Drai aver
Issued by - -
ax Collector
- -
Permit Fee:. Paid $ _ � o C
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
---------- - --
APPROVED — (Date)
(Sig)
INSPECTOR
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TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR, CONN. 06074
DEPARTMENT POLLUTION CONTROL
Date
The Sanitary Sewer . Y . . Septic System . . . . . . . . . .
at
or lot # -37 . . . . . . . has been installed and completed
in accordance with the Town of South Windsor ordinances
and regulations.
Accepte an Approved
B - Date 'c��