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CITY OF CARMEL = y,a��a� t{:.
APPLICATION FOR SEWER PERMIT
PERMIT NO: DATE
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THE BUILDING AT:
SUBDIVISION r LOT NO:SECTION NO:
'ADDRESS STREET A_s
WITH THE PUBLIC SANITARY SEWER ON STREET.
`THIS APPLICATION IS MADE BY
OWNER OR AUTHORIZED P -LUMBER
BUSINESS ADDRESS TEL:
THE PLUMBER MAKING INSTALLATION WILL BE:
PHONE PLUMBER S BOND EXPIRES:
R
9�r.
PERMIT ISSUED BY: l' (SIGNATURE)
THE BUILDING SEWER SHALL BE VITRIFIED CLAY PIPE, 6 INCHES IN DIAMETER
MEETING ASTM SPECIFICATIONS C-700-74 FOR EXTRA STRENGTH CLAY PIPE OR
� LATEST REVISION UNLESS OTHER MATERIALS ARE HEREBY PERMITTED IN WRITING }
THE SEWER SHALL HAVE JOINTS MEETING ASTM SPECIFICATION C-425-74 OR
LATEST REVISION. THE SEWER SHALL BE INSTALLED IN ACCORDANCE WITH ASTM
C-12-74 AND THE UNIFORM PLUMBING CODE FOR THE STATE OF INDIANA. ALL
INSTALLATIONS SHALL BE IN STRICT COMPLIANCE WITH PERTINENT CITY OF
CARMEL ORDINANCES. ALL INSTALLATIONS SHALL BE "OPEN TRENCH" INSPECTED
AND APPROVED BY THE CARMEL SEWER DEPT. BEFORE ANY BACKFILLING IS DONE.
NON-COMPLIANCE MAY RESULT IN DIGGING IJP THE SEWER INSTALLATION AND/OR
DENIAL OF FUTURE SEWER PERMITS AND/OR DENTAL OF WATER CONNECTIONS.
NO FOOTING OR FOUNDATION DRAINS OR OTHER SOURCES OF GROUND WATER OR
STORM WATER SHALL BE PERMITTED TO ENTER THE PUBLIC SEWER. SEWER INS-
PECTIONS SHOULD BE REQUESTED AT 846-1527 -- 1 To 4 HOURS IN ADVANCE.
NO INSPECTIONS WILL BE MADE ON SATURDAY OR SUNDAY OR HOLIDAYSUNLESS
x ARRANGEMENTS ARE MADE AT LEAST 24 HOURS Iii ADVANCE. ALL PLUMBERS OR
CONTRACTORS INSTALLING SEWER (OR WATER) LINES SHALL HAVE A PLUMBERS
3
__.BOND POSTED WITH THE CLERK TREASURER'S OFFICE. IF ANY STREET MUST BE
"CUT A SEPARATE STREET CUT PERMIT SHALL ALSO BE OBTAINED.
`SPECIAL CONDITIONS:
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3:I HAVE READ THE CONDITIONS OF THIS PERMIT AND AGREE TO ACCE_T THE`
RESPONSIBILITY FOR ALL WORK DONE UNDER THIS PERMIT.
SIGNED - ,i t. _-
i� (OWNER OR AUTHORIZED PLUMBER) _ +