HomeMy WebLinkAboutDrain Layers Permit 509 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL B/P No.:77
South Windsor, Connecticut
List_ No.:
' DRAIN LAYER'S PERMIT `���
N? 586
, 19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below atSm ftst*r fit 40t 34 on the
side, �ft*Vt **MOT O'f AftV- ZtTil*t-
at premises owned by * t"
whose address is
and to Lay House Drain, Repair House Drain, Lay-Main,. Other ,
for occupancy or use,
with am 01 Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( ), INDUSTRIAL WASTES _( ), OR
Connection will be made with W) 1440de X I&t$Ml kWO Sft# 14081 *& 4
Permit to be issued to 3 Wa *A oautmuft
the holder of Drain Layer's License No. Permit will expire on Aurut 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 4"/" Licensed Drain. ayer
` Issued by Aar►
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
FINAL (Sig)
APPROVED .• (Date)
(Sig)
p.+
INSPECTOR
N
3
—NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION -o vs7Fe s=
OWNER
TYPE OF WORK sew t,.4TE�i9L
DATE G PERMIT sire PIPE C
INSTALLER tsd i D
INSPECTOR ,s' DRAWN BY 95