HomeMy WebLinkAboutSewer ServiceGEAR MIEL_
APPLTCATTO\ AND PL11011T I'OR SLltilsl2 S116710E
CITY STATE
PERMIT NO.
Application is hereby made for authority to connect the premises at
N o . -- zr-�/� Ct. ire et , —Ave- , L o t _ B 1 o c k �,�
Addition with the city's sewer main on_Street, Ave., by
a inch V.C.P., or C.I.Soil Pipe. Connection will be made
feet North, South, East, West of the manhole located at the intersection
of and
Ask Clerk to see Ordinance S-3 for complete specifications. Clay pipe
shall he ASTM C200 -65T. Joints shall be materials having resilient
properties ASTM C425-64. Installation shall conform to ASTM specifi-
cations C12-64. No pipe smaller than six (6) inches shall be used.
All material and workmanship will be in strict compliance with City
Ordinances relative to such work and shall be approved by the Sewer
Superintendant before and after backfilling. Noncompliance may
result in (A) Digging up and redoing complete installation., (B)
Denial of future application for permit, (C) Denial of water connection
until work is satisfactory.
CLERK OW, ER OR AUTHORIZED PLUMBER
To be filled in by installer before backfilling will be authorized.
PERMIT N0. DATE NO. STREET
LOT BLK. _ ADD.
SIZE OF PIPE
LOCATION OF TAP
KIND
FEET
FROM LINE OF ST.
DEPTH OF MAIN SEWER FT. ENTERS LOT AT FT.
FROM_
DEPTH OF PROPERTY LINE
PLUMBER_
REMARKS_
LINE OF
CITY INSPECTOR
ST.
FT.