HomeMy WebLinkAbout0292.80 Misc.The 6u,i.�den acce�Gs -thi:� pe�unLt i�Ltlt .L{te fzno�ufedge that .the aafiLtan� 6aci.Ci,ttea
a�ce at on iiecvc capaci.t�, Iii .the eveitt tlie S.tate Bocvcd o6 HeaCth on a�iy o.then
govemm�e�itae age�tcy ohdens a bu.i.Qduig monato�,Lwn .Cii Ca�unee ort CCay To�avsltiCp, oh
cau,sea tlie CLt� u6 Crvune2 .to dec£ahe a moh2t02Cwn becauae o6 .tliih ae�ve2 pzobCe�n,
the w�de�,s�.gned bu,i.�den agnee� .to ItoQd ha�un2eee .the C�.t� 06 Ccwnee aitd/on ��s
°b6«�a�s 6a°m an1 and a.22 coa.ts, expe�thee, Judgeme�r-LS and n.ttortne� 6eea
aehuCtc:ng 6nom huch monatohuun.
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CERTIFICATE Of SEIJER INSPECTION
CITY OF CARMEL, SEkER DEPARTPtENT DATE
PERMiT NUMBER
LOT NUMBER SECTION N0: SUBDIVISION
ADJRESS __ STREET
TYPE OF PIpE SIZE_+__MFGR
DEPTH OF SEWER: AT TAP:_ AT P/L: AT BID,:
TOTAL LENGTH OF SEWER
TYPE OF CONNECTION AT TAP
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TYPE OF CONNEf.TION AT BUILDING
LOCATION OF TAp:
----_---_-__- FEET OF (FRONT/REAR) P/L
_ FEET OF
(manhole, fire hdyt, etc..
PLUMBER INSTALLING SEWER
INSPECTOR _
SKETCH OF PLAN AND/OR PROFILE OF SEIJER
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ri�CFl PER�1I'I`PEG AGREES THF1T:
1. NO A�ATER SERVICG WII.L gE PER�tITTGD [NTIL TfIE BROOKSHIRE
LIF'P STATIQU EfOIDING TIkVK IS IN OPF.Rt1TIOV e�yD APP5Y�t/�p
dY TtIG CITY OF C�1RifE;L.
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DATE j -
�arrFza��rrota
SUBDIVISIO� r/� ,� �i t>w �r �����_,_1�y�,�__r,ar # Z�' -
EACFI PERMI'ITEE AGREES THAT:
NO L@1TER SER�7ICE LVIIy gE pggrliTTED UNTIL TE� BROOKSHIRE
LIIT STATION HOIDING TFaNK IS IN OPERATION ANp APPctpVEp
BY TE� CITY OF CI�RL4IBL.
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