HomeMy WebLinkAboutDrain Layers Permit 580 Foster Street L
TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No:: _
DRAIN LAYER'S PERMITp 3480
3 , 19j
Pursuant to written applicar, p fission is h eby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 6-
on the
side, b een
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 ( ), INDUSTRIAL WASTES .( ), 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
Signed
Connection Charge aid Q 0, -6 41�l d O Licensed Drain Layer
—- - Issued-by--
Permit Fee: Paid $ � OD
_ INSPECTION:_ Check Number:--•-- ��
—INITIAL (Sig)
FINAL (Sig)APPROVED
.
- (Date) _
- - — -- - (Sig)
INSPECTOR