HomeMy WebLinkAboutCertificate of Sewer Inspection&e,' f-79 ]
CERTIFICATE OF SEWER INSPECTION
CITY OF CARMEL, SEWER DEPARTMENT DATE
PERM I T NUMBER
,
LOT NUMBER —f SECT! ON NO: % S U B D I V I S 1 ON
ADDRESS STREET
TYPE OF PIPE 1 , �':.y / C S I Z M F G R _''
DEPTH OF SEWER: AT TAP: AT P/L: AT BLDG:
TOTAL LENGTH OF SEWER
TYPE OF CONNECTION AT TAP -_—__--
TYPE OF CONNECTION AT BU I LD I NG
LOCATION OF TAP:
FEET OF _(FRONT/REAR) P/L
FEET OF
iYlli IV tlQ(manhole, fire hdyt, etc..)
PLUMBER INSTALLING SEWER ��-'
r
N S P E C T O R /,- h_:r,
SKETCH OF PLAN AND/ R PROF:LE OPS SEWER
r
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