HomeMy WebLinkAboutCertificate of Sewer InspectionCERTIFICATE OF SEWER INSPECTION
CITY OF CARMEL, SEWER DEPARTMENT DATE
PERMIT NUMBER
LOT NUMBER SECTION NO SUBDIVISION
ADDRESS STREET _
TYPE OF PIPE SIZE 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;:
LOCATION OF TAP:
FEET OF (FRONT/REAR) P/L
FEET OF
(manhole, fire hdyt, etc..)
PLUMBER INSTALLING SEWER T
r
INSPECTOR `i L' --L
SKETCH OF PLAN AND/OR PROFILE OF SEWER