HomeMy WebLinkAboutDrain Layers Permit 857 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List.No.: _ � 0 �_
DRAIN LAYER'S PERMIT - —
N° 2068
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at s r f �_�, ��
side, between on the
at premises owned by Ce a/2
whose address is
and to Lay House Drain, Repair House Drain,
Lay Main, her
for -
t
l„
with Famil occupancy or use,
y Units with
acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE ( i-�, INDUSTRIA .WASTES .
( ), OR ( )
Connection will be made with
Permit to be issued to
�-
the holder of Drain Layer's License No.
expire on
The undersigned Drain Layer hereby agrees to all the terms and conditions set lforth on the permit and the re verse side—
thereof. Applicant has received Town Permit No.
for street excavation. and/or C H D Permit No.
SPECIAL CONDITIONS Iv/ /
lJ c
Connection Charge Paid �U, l�C� Signed
Licensed Drain Layer
Issued by
Tax Collector
Permit Fee: Paid $
INSPECTION: Check Number:
INITIAL
(Sig)
FINAL
(Sig)
APPROVED
(Date)
\ IN EC (Sig)