HomeMy WebLinkAboutDrain Layers Permit 877 Foster Street TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
7 List No.:
DRAIN LAYER'S PERMIT NO 1895
19
Pursuant to written applicatior, per
mission is hereby grante.�d.tto�the Licensed Drain Layer named herein to perform
the work indicated below at X 7 7_T X,� on the
side, between
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
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
lS/ Sig ned
Connection Charge Paid Qa, 00 1 b/1 � Licensed Drain Layer
Issued by Zv�u� 61C LAA,
-��2Ta�Gallector _ -
f Permit Fee: Paid$ _1 90 '0 7�
INSPECTION: Check Number:
INITIAL 1 G CG 1ucCi (
(Sig)
FINAL (Sig) Con,j kk c
r9.�,6 ry
__. .APPROVED -_ - _ _ __ _ _---__- -_ (Date) ___ - ��,S�-;------- -
P7 S
INSPECTOR (Sig)
1
Yyf
�