HomeMy WebLinkAboutdrain layer permit 470 Foster Street OWN- OF SOUTH 'WI N DSOR
t DEPARTMENT .OF POLLUTION CONTROL
B/P No.: 2&A
+,. South Windsor, Connecticut
List No.: S6U7
,* DRAIN LAYER'S PERMIT No 853
21 gaz 719 S
fit'
Pursuant to written applicati r, ermission is hereby granted to the Licensed Drain.Layer named herein to perform
the work indicated below at ##Alin, -1 t-r-(,Pt 4on the
c *At side, between '+ .211bub Wit' =kl Poll d Priori
at premises owned and —Oyay1 Am
whose address is °'*`"1
and to Lay House Drain, Repair House Drain, Lay-Main, Other ,
for rewf 3a tl11
occupancy:or use,
with 0) Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE (I ), INDUSTRIAL WASTES ( ), OR ( )
Connection will be made with Obt-1"101' 0-alai-I 71-120 to a htfild KNOW i8 $tte 27+47*M 'It
a dove Ot 8*0!
Permit to be issued to VIWMt e:r)4& 1r•.� 4/ VHdI 't umtMtiae Cb•
the holder of Drain Layer's License No. '•�9� 5?� Permit will expire on 21 JUt y • 19 75
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 '" "�1•�' Licen Dra` Layer
' •ti'�;�t 1I , 'r' Issued bytv-l
'T •,
Tax Collector
Permit Fee: Paid $ __V7*20
INSPECTION: Check Number: 201
INITIAL (Sig)
FINAL (Sig)
APPROVED (Date)