HomeMy WebLinkAboutDrain Layers Permit 575 Foster Street ,t-'O !
`TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
t i\ i` } List.No.:
DRAIN LAYER'S PERMIT NO 1155
OR October 19 7E;
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 575 Foster Street
on the
side, between
at premises-owned byimin K. -end Mori l E. Brown
whose address is Same
and to XXX Lay House Drain, Repair House Drain, ' Lay Main, Other
for Residential
occupancy or use,
with One , Family Units, with acres. .
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (yxy, INDUSTRIAL WASTES OR ( )
Connection will be made with Six Incz Mastic Pi e
Permit to,be issued to Walter Knan
the holder of Drain Layer's License No.U)q-- 2 C�G76F Permit will expire on'08 December 19—Lo ,.
The undersigned.Drain Layer hereby agrees-to all the terms and conditions set forth on the permit and the reverse side
.f d ..
thereof. Applicant has received Town Permit No. and/or C HD'Permit'N&
for street excavation.
SPECIAL CONDITIONS
Signed -
Connection Charge Paid;0,5 October 76 Licen in L i
. .
1027 sued-b M. Timnthy gpion
lax Collector
r
Permit Fee:. Paid $ _ CAI 1
INSPECTION:_
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NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION
OWNER
TYPE OF WORK
DATE PERMIT PIPE
INSTALLER
INSPECTOR DRAWN BY