HomeMy WebLinkAboutSewer PermitCARMEL
APPLICATION AND PERMIT FOIZ SENER SERVICE
CITY STATE
PERMIT
Application is hereby made for authority to connect the premises at
No.ifn, ����r✓ S Z,tAv-o., Lot Block
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 be ASTM C200 -65T. Joints shall be materials having resilient
properties ASTM C425-64. Installation shall conform to ASTM specifi-
cations Cl2-64. 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
Superintendent 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
7work is satisfactory.
Cad-
i�iY LERK hbac
0 UTH RI ED PL '
To be filled in by installer befolling will be auth ized.
PERMIT NO. DATE NO.
LOT BLK.
OWNER
SIZE OF PIPE_
LOCATION OF TAP
FROM
LINE OF
STREET
ADD.
KIND
FEET
ST.
DEPTH OF MAIN SEWER FT. ENTERS LOT AT FT.
FROM 3 $ LINE OF ST.
- cn
DEPT R(�OPRT,lj, FT.
PLUM
REMAIL( v
CITY INSPECTOR
9- /.5 - 7�