HomeMy WebLinkAbout0052.85 Sewer/Water PermitCITY OF CARMEL "
�" �� Y APPLICATION FOR SEWER PERMIT
PERMIT N0: i�,�lT �-l�J-�f DATE rzf-�-�'��- �. '� !S'����'f
APPI_ICATION IS HEREBY h1ADE FOR PERMISSION TO CONNECT TH� BUILDING AT:
SUBDIVI S ION�:�� �-:�� ���j1, LOT N0: ''S�,�______SECT ION N0: . S —
AADRESS STREET
WITH THE PUBLIC SANITARY SEWER ON STREEi'�
� . .
THIS APPLICATION IS MADE BY: /' �r��- �rtz-G �-t—%�z -_%:-��v"�-_.���`"F=���
�OI�dNER OR AUTHORIZED PLUMBER)`
BUSINESS ADDRESS TkL:
TNE PLUMBER MAK I NG I NSTAIIAT I ON W 1 LL B� : ,f� `'f ���'` _=�-� ��'-`";�
PHONE: PLUMBERlS ROND EXPIRES; _
.�_�� ..__._
PERMIT 1SSUED BY: ' � ��� a � --r.r .<�-Z = iSIGNATURE)
THE BUILDING 5EWER SHA�L tiE VITRIFI�D C�_AY P1PE, 6 INCHES tN DIAMET�R '
MEETIN6 ASTM 5PECIFICATIONS C-704-7�+ F04t EXTRA STRENGTH CLAY PIPE OR
LATEST REVISION UN�ESS OT1iER ?�1A7ERIALS ARE HEREBY PERMITTED IN WRITING.
THE SEWER SHAL! HAVE JOINTS MEETING AST►M SPECIFICATION C-i�25-74 QR
LATEST REVISION. THE SEt9ER SHALL 8C iNSiA�.L�� IN ACCORDANCE WITH A5TM
C-12-74 ANU TNE UNIFQRM i'LUMt3ING CODE FOR TNE STATE OF INQIANA. ALL
INS7ALlATIONS SIiALL 8E 1N STRICT COMPLIANCE WITH PERTIMENI' CITY OF
CARMEL ORDPNANCES. ALL TNSTALLATlONS SHALL E3E "4PEN TRENCH" INSPECTED
AND APPROVEC f3Y THE CARMEL SE��tER DEPT. BEFORE A�IY BACKFILLIN6 IS DONE.
NON-CGt4PLIAtdCE MAY RESaJi_T IN DIGGING UP THE S�WER INSTALLATION AND/OR
, DENIAL OF FUTURE SEWER PCRMITS ANO/OR DEt�JIAL OF t•�ATER CONNEC7IONS.
NO FOOTING OR FOUtVDATiOtV DRAIN5 OR OTHER SOURCES OF GROUN� WATER OR
STORM 1�IATER SHAL� E'E PERMITTED TO ENTER THE PUSLIC SEWER. SEWER INS-
PECTIONS SHOU�O BE REQUESTED AT 846-1527 -- 1 TO 4 HOURS IN ADVANCE.
tV0 INSPECTIONS S�JII.L BE MADE OP! SATURDAY OR SUPdDAY OR HOLIDAYS UNLESS
P.RRANGEMENTS ARE MADE AT LEAST 24 HOURS IN ADVANCE. ALL P�UMBERS OR
CCNTRACTORS INSTALLING SEWER COR 1�ATER) �INES SHALL HAVE A PLUMBERS
BOhD POSTED WITH THE CLERK TREASURER'S OFFICE. IF ANY STREET MUST BE
CUT, A SEPARATE STREET CUT PERMIT SHALL ALSO BE OBTAIhf_D,
SPECIAL CONDII'iONS:
I HAVE READ THE CONDITIONS OF THIS PERMIT AND ACREE TO ACCEPT THE
R�SPONSIBILITY FOR ALL 1��ORK DONE UNDER THIS PERMIT�
" -r . �_ �i � _� � . L :. t� � ti � ; ;,; cs �, � nf C .
s t GMED�-�' .if' ..z., � �.i: ` - r_-.� ,� r�a-
/ �
' �OWNER OFt-Aili`HflR'I�ZEII' P�-UMBER)
--7.Q_ �.- -