HomeMy WebLinkAboutDrain Layers Permit 658 Foster Street TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL.
South Windsor, Connecticut B/P No.:
List No.: -S Coc'710 0
DRAIN LAYER'S PERMIT N? 852
19
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 6 r00"r Stroot
on the
side, between
at premises owned
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 ( X), INDUSTRIAL WASTES _( ), OR ( )
Connection will be made with air Inal, Plastic Piro
Permit to be issued to
the holder of Drain Layer's License No.
y 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
Signe4�
l
Connection Charge Paid 18 Licensed Drain Layer
-- -- - Issued by
Tax Collector
Permit Fee:. Paid $
INSPECTION: Check Number: x
INITIAL y. (Sig)
FINAL (Sig)
APPROVED (Date)
�.,
(Sig)
: lv k6l YO