HomeMy WebLinkAbout 0789.98 Sewer/Water Permit/s1
' CLAY TOWNSHIP REGIONAL WASTE DISTRICT
SANITARY,SEWER PERMIT
[]CONDITIONALPERMIT '-: I' FINAL PERMIT
'f INDIVIDUALS LOTSIEXISTIDINGS
fact Title '"LAY ^A47 - sT
Q.vnerlBuilder: Yi n'XSt✓ 4�'.�.YYri2-Q1 f, 6'^
city. t:A //YL(J� Zip: L/003:�!. County:
Availability Paid: Connection 'Fee Paid,
952�
°: e
ht„tcpptor Charges Paid:` � Surcharges: /0-D0' LOC
aste District (see.reverse)arid any conditions gated below: All
by Districtpersonnel..during='open trench`'phise and before.
1 six inches above the Dioe' NO'foofirio nr foundation_drains. or,
Th^
caused:)y construction activity on the building site which is the subjact of thispermit„the. permit
,hoidens also responsible. -
I
it InsFecfions..by the District are MANDATORY and shall be arroriged, by contacting the. District's
off ce at 844:920o one to four hours In advance. All newco_n:llructioA.will be: placed onbillingsix
lfiih after connection has been made.. r _ ..1 '
Hy. signing below, I attest that I am familiar with the. DisUi:i'U ilpecdications'and agree to accept
responsibility foi all work done underthispermit. %
I '
Cooditlon:
NOCONNECTIDN to thesewer untt,.fufher notification.
-._:
46
Certficate of Insurancemusl be on f;a wiln CTRN/D listed'as certifcate'holder:
[ ] and Distract notice
must on slle.
hours rbotrnanhole core drilling or cuts of active lines
All District fees ",will be paid .infull.
( ] Approval pending Districts review oCplaos.,,
[ ] 'Copie,.pf approved"permits from appropriate countyor city' agencies forwork in the
right-of-way;road buts. or are aflached.
All conditions have been met and final permit Issued - 19
utif,_ ,_�f_7-5-is-a3-5o:-e,_faa7
Buil edOwner Signature Phone
Inspection Fee, Paid $55,00 plans submitted
i • A Cr.4—
ay Aley,'Llilily Manager,
^TRwp )
Permit valid only with'CTRWOseal in red inks
Permit-reG.t-9(Vc{f - '