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HomeMy WebLinkAboutDrain Layers Permit 880 Foster Street TOWN OF SOUTH WINDSOR ` DEPARTMENT OF POLLUTION CONTROL South Windsor, Connecticut B/P No.: List No.: — DRAIN LAYER'S PERMIT NO 1838 719q7c) Foskr Si"j-x- - 21-�, 7 � Pursuant to written applic'at`ior, permission is hereby granted to t e Licensed Drain Layer named herein to perform the work indicated below at 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 L��P Family Units, with acres. Type of Sewage to be connected under this permit: SANITARY SEWAGE (1,-,", INDUSTRIAL WASTES .( ), OR ( ) Connection will be made with Permit to be issued to the holder of Drain Layer's License No._ac— ) �- Permit will expire on 1 p O 19 The undersigned Drain Layer hereby agrees to all the ter s 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 CONPITIONS. � n _ ey Signed Connectio rge Paid /7�� Licensed Drain Layer Issued by �- a�C�Ilector '� 7 U Permit Fee:. Paid INSPECTION: Check Number: TL� - /V� -� INITIAL (Sig) 10y 'J,�A�V �j ,t'FINAL (Sig) f f f _ APPROV-ED - „d' /1, 1 0 INSPECTOR (Sig) IT PC s � J �YS� �Sy3 f S 6 o r ti / l o /=ors 71- 0 \ a , d V� n i V Ou