HomeMy WebLinkAboutDrain Layers Permit 57 Foster Road TOWN OF SOUTH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List.No.: _ C7
DRAIN LAYER'S PERMIT N? 1345
19�
IPursuant to written a licatio.r pp , permission is here y granted to a Licensed Drain Layer named herein to perform
the work 1)1dieatedb low at on the
� fl side, betty n �= /1 �ClL7 UiC"
at premises-owned by G ,
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 ( j, INpUS A OR
Connection will be made withG/
Permit to be issued to
the 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
Signed ;
Connection Charge Paid I Licensed Drain Layer
Issued by
Tax Collector t
Permit Fee:. Paid $
INSPECTION: Check Number:
INITIAL (Sig)
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APPROVED j' (Date)
(Sig)
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