HomeMy WebLinkAboutDrain Layers Permit 1028 Foster Street TOWN -OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No:-
South Windsor, Connecticut
List No.:
DRAIN LAYER'S PERMIT N� 2126
19— CE121
Pursuant to written applicatior, permission is hereby granted to the Licensed Drain Layer named herein t��� �on
perform
the work indicated below at lea /r7j(j4/` �� (�
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 trade with
Permit to be issued to
athe 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
-vn
Signed
Connection Charge Paid CJU Licensed Drain Layer
ssued by
Permit Fee: Paid $ _ (J
INSPECTION: Check Number: a ' d
INITIAL----- --- --------- ------- -------- -(Sig)- -- �---- ---__----- --�___
_ FINAL (Sig)
APPROVED.
INSPBCTO (Sig)
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