HomeMy WebLinkAboutDrain Layers Permit 147 Foster Road TOWN , .OF SOUTH WI N DSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut B/P No.:
List No.: _
DRAIN LAYER'S PERMIT 2736
19t
Pursuant to written applicator, permission is hereby, ranted to the Licensed Drain Layer named herein to perform
the work indicated below at-4 / _ i)j ti L on the
side, bet/weeen
at premises owned by /<l
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 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 ,(� �� Licensed Drain Layer
Issued by
_tax-Collector-
Permit Fee: Paid $
INSPECTION: Check Number:
FINAL (Sig)
APPROV -
(Sig)
---- --_ INSPECTOR