HomeMy WebLinkAboutDrain Layers Permit 414 Foster Street TOW& QF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
Lisa No.t 8R6 92
DRAIN LAYER'S PERMIT N? 186
fis ----
E 0 May , 19 71
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 41'1, 7—o t s r rtr".t on the
side, between LWzr*1 B1 ralk H3� er
r at premises owned � or
whose address is
and to X Lay House Drain, Repair House Drain, Lay Main, Other
for 'f '. occupancy or use,
with 020 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
- SANITARY SEWAGE }
. � INDUSTRIAL WASTES, OR
Connection will be made with six•-ix W9 1-mat-inw,
Permit to be issued to �
xavjkti r
the holder of Drain Layer's License No. W4-2DW38 Permit will expire orQ3 jl lj: 19 ,?I
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 Licensed Draid`Layer,.
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�.� (Sig) issued by € p 'Cf 7" 3 'Tri
Tax Collector
Permit Fee: PaidChook
INSPECTION: Numbers
INITIAL ^ (Sig)
FINAL .-- (Sig)
APPROVED n4 Maw (Date)
CTOR (Sig)
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NOTES SOUTH WINDSOR POLLUTION CONTROL
If
Dra�wixg xot to Tff LOCATION 414 Foster Street
n2,ir OWNER M. George-Cox Jr.
A 19 15 TYPE OF WORK Sewer Coxxectiox
B 9 15 DATE 05-04-73 PERMIT 186 PIPE6rr CI
INSTALLER De re (W -20 8)
INSPECTOR ME DRAWN BY ME