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CERTIFICATE
CERTIFICATE OF SEWER INSPECTION
CITY OF CARMEL, SEWER DEPARTMENT DATE
PERMIT NUMBER
LOT NUMBER SECTION SECTION NO• SUBDIVISION'
ADDRESS STREET
TYPE OF PIPE ? r `` i^ S I ZE 'J MFGR
DEPTH OF SEWER: AT TAP: _. AT P/L: AT BLDG:
TOTAL LENGTH OF SEWER
TYPE OF CONNECTION AT TAP
TYPE OF CONNECTION AT BUILDING Lc..
LOCATION OF TAP:
vS� ,i
_FEET OF (FRONT/REAR) P/L
�I. FEET l ,. ,:.' OF �.
(manhole, fire hdyt,
etc..)
`-.rc�;.':
PLUMBER INSTALLING SEWER -v
INSPECTOR%r f
SKETCH OF PLAN AND/OR PROFILE OF SEWER
i
S '
IIIJJJ
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