HomeMy WebLinkAbout 0785.98 Sewer/Water Permit/se
1') CLAY TOWNSHIP REGIONAL WASTE DISTRICT
SANITARY�SEWER.PERMIT,
J I CONDITIONAL PERMIT' f INAL"PERMIT'
INDIVIDUAL LOTS/EXISTINGBUILDINGS
Lot# 11/1 U0-5 Slreet`Atldress /(/?ZZX c�S r'': fV -;
City`LtCd✓l'Yed, Zip (D•�� yCounty:,'f// �'A-Ml/ %)'1
AvailaUityPaid Connection Fee Paid 95�
I
Interceptor Charges;Paid:, Surcharges .�Q LOC
Contlilion '
[ ] NO CONNECTION ,to the sewer until further notification:, '
[ ] Ciirtifcate of Insurance must be on file with;CTRWD listei]'as certiflcate;holder.
[ ] 48'tioum noticebefore work starts on manhole core dolling or cuts of active lines;
I andDishiclinspector musttie'on site:
q [ ] AltDistnctfees,wllIbe;paiddin full.
,[; J Approvat,pending Districts review of plans.
[ ] Copies of approved permits'from approrldale'county or city agenaes foi.work igthe
rightof way,�mad.cuts'or` are attachedr
All condiiionslhavel bees-IaAii ipermit issued 19 m
nn`cf �317-_575-a35CJ �X aa7
Bu' er/Owner ignature 'Phone. -
InspecdomFeelPaidT$55.00 ✓ ✓2'site plans submitted,
-
,PePmltissued'this•i 6day.of f 199'
,JI�I°�5•`
ay W.`Alley Uliliry Manager` t _ C I Ir,��7Y D
n �YY.
'Pertnit,reBa-s810
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`Permit, valid' only with [CTRWD'seal'.in:red 'ink.