HomeMy WebLinkAbout0379.74 Sewer Permit.pdf±dge
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STATE --- -- - -
PERh11T N0._/;} y/_���_7 --
1��Qjication is hereby made for authorlty to connect the premises at
";o.-- --- — - —Strcet, Ave.. Lot_�.;-'�_ Dlock_�r�ti'"G�Lt�.
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Addition with the city's seiaer maln on ____ __ _Street, Ave` by
a__ inch V.C.P., or C.I.Soil Pipe. Connection will be made
feet �4orth, South, East, IJest of the manhole located at the lntersection
of and
Ask Clerk to see Ordinance S-3 for complete speciflcations, Clay pipe
shall be AST��1 C200-65T. Joints shall be materials having resllient
properties ASTht C425-64. Installation shall conform to ASTM speclfl-
cations C12-64. No pipe smallPr than six (6) inches shall be used.
All inaterial and workinanship �vill be in strict compliance tvith City
Ordinances relative to such ��ork and shall be approved by the Sewer
Superintendent before and afte�• backf1111ng. Noncompliance may
result in (A) Digging up and redoing complete installation, (13)
Denial of future application for pei•mit. (C) Denial of water connection
until �vork is satisfactory.
— �'��11s� �-� --�,�� � �-�,� � L.-S-l�7 TiI! L�"
�I=�Y- CLERK 041NER O�UTHORIZED PLUMI3ER
To be filled in by installer before backfil� ng will be authorized.
PERMIT N0. __DATE_ N0. STREET
LOT _ p�K, _ _^ADD.
04tNER�C� �. /� ,z�
SIZE Or PIPE _ KIND
LOCATIQN OF TAP FEET
FROM __LINE OF cT,
DEPTH Of h1A1N SEWER___ FT. ENTFRS lOT AT FT.
FROtdV_ LINE OF_____ ST.
DEPTH OF PROPERTY LINE_ FT.
PLUPIDER
R[htARKS
y- a3''7 `f
CITY INSPECTOR