HomeMy WebLinkAboutDrain Layers Permit 229 Foster Road TOWN OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
B/P No.:
South Windsor, Connecticut
List No.: _��
DRAIN LAYER'S PERMIT NO - 187
-27 , 19
Pursuant to written application, permission is hereby
granted to the Licensed Drain Layer named herein to perform
the work indicated below at 'g a /ICY on the
side, between
c 1
at premises ol6ged b
whose address is
and to Lay House Drain, Repair House Drain, Lay Main, Other
/ '
for or occupancy or use,
with Q Family Units, with acres.
Type of Sewage to beconnected under this permit:
w`
SANITARY SEWAGE ( ,ec INDUSTRI L WASTES . ), OR ( )
Connection will be made with
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. 41
SPECIAL CONDITIONS
/ Signe �
Connectio rge Paid dZ7 0 26/-7 Licensed rain Layer
__ leector __
Issued by
A/7 / 2
Permit Fee:. Paid $ _�s
INSPECTION: Check Number: �"��
- INITIAL (Sig)
FINAL (Sig)
APPROVED - _ (Date)
(Sig)
INSPECTOR
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