HomeMy WebLinkAbout780417d1£►'s t7
ETA 7F
1_
. 1 STATE; l
SECTION
)r two family) 1. O Farm
t -family) 2. DiResidential (One or two family)
3• E3 Commercial
4. (71n!
ank. etc. ) ". ei ne or two family dwelling
2. Q Multi -family
3. C] Commercial
Room_ O Industrial
C)Other-specify
Present Proposed
-Attached -4— L CUDIItiG LAND VALUE � � 1
ave the authority to make the foregoing app cation,
correct, and that the construction will conform to the
Ing Code, the "Zoning Ordinance of Carmel, Indiana -
ereto, adopted under the authority of Chapter 174 of the
sambly of the ~tate of Indiana, and all Acts amendatory
ding :-*4t*ict ons, fir. which may be 1=Qced on the
t ne :rjous dra of area or damagt to publis
m tl:s C tructione site grading shall conform to
rent plan apprav Carmel -Clay Plan Comission,
kt truction wil rwt be used or ortupiod until
WW complier a are filed with the Building
Indiana.
it. only kitchen, bath, laundry and floor drains are
-, r,
. --nc Tr .zed Apert: Address City State
APPPIVED
�m w BUILDINIC
C'•__iy T"�'iva�i1P
APP11CA11v\ AND PEIVE11 ?0IE SMER
PERRZ'
Application is herebymadefor authority to can
tti 0 .
�G�---Street, Ave., LotA
Addition with the city's sewer main on
a inch V.C.P., or C.I.Soil Pipe. COnnectiol
feet North, South, East, West of the manhole
of and
Ask Clerk to see ordinance S-3 for complete s�
shall be ASTM C200 -65T. Joints shall be mater
properties ASTM C425-64. Installation shall c
cations C12-64. No pipe smaller than six (t)
All material and workmanship will be in strict
Ordinances relative to such work and shall be
Superintendent before and after backfilling.
result in (A) Digging up and redoing complete
Denial of future application for permit. (C) 0
until is satisfactory. --
To be filled in by installer before backfillir
PERMIT N0. DATE NO.
LOT_BL K.
OWNER
SIZE OF PIPE
LOCATION OF TAP_
FROM LINE OF
DEPTH OF MAIN SEWER FT. ENTERS LOT -
FROM LINE OF
DEPTH OF PROPERTY LINE
PLUMBER
REMARKS
.U)'
CITY INSPECTOR_______