HomeMy WebLinkAbout0599.87 Sewer/water Permit�
HAMILTON WESTERN UTILITIES INC.
1350 Greyhouad Court
Curmel� IN 46032
(317)846-6561
DATE: Julv ?2 � 1947
1 5(lt! � �q � f;? / { � L? .7
RECEIVED FROM: �Jp�;�-�$ y�hqgid�P l, A I,�
ADDRESS: �Zs')i (•7�9I: i�(I. 71:�1tS'�;.��.t� �tx71�1
LOT�! ':q � LOCATION ';T�rin�nill t'r�,��;iln � SECTIAN ll l
Lot Address; _ 737+s1:��•ir�c �tiJ1 �ivd
WATER CONNECTIUN FEE
SENER CONNECTION FEE
INSPECTION FEE
*DEPOSIT - WAT6R
*GEPOSIT - SEWER
*DEPOSIT - WATER SHUT GFF
*MISC
$ 23 , r,�
"?;'5. LX)
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` �D: 7
TOT'A4 �,
� ,�r,t,�.r�.+t,a,t�t �335.:..1 �;��;;. � .- _ + _
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It !s hereby agreed thai a$1,000 penalty Will be charged any builder
introducing any Water into this sevage system other [han sewage effluent.
Seaer lines must be of acceptable quality� PVC With self scaling Joints
or CAST IRON pipe with 0-ring or leaded joiats. All-loints must be leak proof.
There is a 6" wye to gerve the lot on the left and the right. If a amailer line
from the house to the wye ia uaed, it is mandatory that a reducer be used at the
connecting line.
B�sement floor drains are not permitted. Water closets installed !n
the basement must have "back veter" valves.
Sump pumps� perimeter dreins or atea drains must not be connected to
the �ani tar�� �.ewer.
ALL SE41ER LINES ARE TO BE APPROVED AND INSPECTED by Hacoilton Nestern
Utilities� Inc. PRIOR TO COVERING. Failure to do so aill result in uncovering
water line at the expense of the builder.
�LL WATER LYNES ARE TO BE APPROVED AND INSPECTED by Hamilton {destern
Utilities, Inc. PRIOR TO COVERINC. Failure to do ao vill result in uncovering
water lines ae the expense of the builder.
WA-fEK SHUT-OFF VALVE IS TO BE APPROVED AN6 INSPECTED BEFORE AND
AFTER FINAL GRADIttG by Hamilton Nestem Utilities, Inc. Failure to do so
�+ill result in locating and uncovering shut off at the expense of the builder.
*After the eompletian of all inspections and approvals the $300.00
deposit vill be returned, We W111 need one (1) dev aoticr for inspection
By signing this form builder aclmowledges that he has
reCeived a copy of thia and fully understands the contents.
BUILDER Ja:� � ?. �;meid�*- � G�. , :2��
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Bif ��'.1 : f�..�:":..:` _ ---
.I;�.` .. �,;�c _de
Water and SeWer Lines to be installed
BY: � � ; ;,, _
Meter 4 _ _ _ `: ;: � � �_. ;
Remote i
PLUMBETi s
Received Byt � �. /-- _,
~ `_�----�ti ..
SeWer Connection;
Direction from Manhole �
Feet from Manhole
Feet from curb
HAMIGTON {JESTERN UTILITIES� ING.
BY:
,,;". ��.., ,.:l:sit3�18t�
Inapection - Water gy;
Sewer gy;
Shut-off gy=
Shet-off Location
from curb
L/R of driv¢
Remote Location Reading
Installation Datec
Route / Sequence
After Conatruction
Feet from Driveway;
ft. Left/right