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State Date
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CITY OF CARMEL
APPLiCAT10N FOR SEWER P�RMIT
.PERMIT N0: _DATE_
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THE BUILDTNG AT: -
SUBDIVISION LOT N0; SECTION N0:
ADDRESS STREET
WITH THE PUBLIC SANITARY SEWER ON STREET� i
THIS APPLICATIOPJ IS MADE BY:
OWNER OR AUTHORIZED PLUMBER
BUSINESS ADDRESS T[L:
THE PLUMBER MAKING INSTALLATION WILL BE:
PHONE; PLUMBER�S BCND EXPIRES:
PERMIT ISSUED BY;_ �SIfNATURE)
THE BUILDING SEWER SHALL BE VITR1FtED CLAY PiPE, 6 IMCHES IN DIAMETER
MEETING ASTM SFECIFICATIONS C-700-74 FOk EXTRA STRENGTH CLP.Y PIPE OR
LATEST REVISION UNL[SS OTHER MATERIFlLS ARE HERE6Y PERMITTED IN l•JRITING.
THE SEWER SHALL HAVE JOIN1'S MEETING ASTM SPECIFiCATION C-425-7�t OR
LATEST REVISION. THE SE�:lER SHALL BE ItdSTALLED IN ACCORDANCE WITH ASTM
C-12-74 AND THE UNIFORM PLUMBING CODE FOR THc STATE OF INDIANA. ALL
INSTALLATIONS SHALL BE IN STRICT COMPLIANCE 4JITH PERTiNENT CiTY OF
CARMEL ORDINANCES. FlLL INSTALLATIONS SHALL 6E "OPEN TRENCH" INSPECTED
AND APPROVED 8Y THE CAR�HEL SE�•!ER DEPT. BEFORE ANY BACKFILLING IS DONE.
NON—COMPLIANCE MAY RESULT IN DIGGING UP THE SE41ER IfVSTALLATION AND/OR
DENIAL OF FUTURE SEl•!ER PERMITS AND/OR DEIdIAL OF S•lATER CONNECTIONS.
NO FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES OF GROUND WATER OR
STORM WATER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWER. SEWER INS—
PECTIONS SHOULD BE REQUESTED AT 846-1527 -- 1 TO 4 HOURS IN ADVANCE.
NO INSPECTIONS WILL BE MADE ON SATURDAY OR SUNDAY OR HOLPDAYS UNLESS
ARRANGEMENTS ARE MADE AT LEAST 24 HOURS IPd ADVFlNCE. ALL PLUMBERS OR
CONTRACTORS INSTALLING SEWER (OR WATER) LINES SHALL HAVE A PLUMBERS
BOND POSTED 4lITH THE CLERK TREASURER'S OFFICE. IF ANY STREET MUST BE
CUT, A SEPARATE STREET CUT PERMIT SHALL ALSO BE �7BTAINED.
SPECIAL CONDITIONS;
I HAVE READ THE CONDITIONS OF THIS PERMIT AND AGREE TO ACCEPT THE
RESPONSIBILITY FOR ALL WORK DONE UNDER THIS PERMIT,
: S I GNED_ : .t : ; _: :
�OWNER 0r� AUTHORIZED PLUMBER) -