HomeMy WebLinkAboutInspection Record and SewerCARMEL
t i�r1i! APPLICATION ANDn;,,,,,.S";.11RSERVIC1
CITY STATL
PERMIT NO.
• �'
Application is hereby made for authority to connect the prem es a
ort of
No. Street, Ave., Lot Block
old
Addition with the city's sewer main on Street, Ave., by
nr and a inch V.C.P., or C.I.Soil Pipe. Connection will be made
Ing 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 o future application f r permit, (C) Denial of water connection
until york is satisf ctor
CLE OWNER RU H D PLWiTE
To be filled in by instal er before backfilling will be aut1torized.
PERMIT NO. DATE NO.
LOT I -BL K.
OWNER
SIZE OF PIPE
LOCATION OF TAP
FROM
DEPTH OF MAIN SEWER
LINE OF
FROM LINE OF
DEPTH OF PROPERTY LINE
PLUMBER
REMARK5
4 /y V
KIND
FT. ENTERS LOT AT
CITY INSPECTOR
AX
STREET
A
BU I LDER :
LOCATION:
BUILDING PERMIT NO.: 471 -
TYPE
71 -TYPE OF CONSTRUCTION: d*0 F/A of/ L
INSPECTION NO. 1 - FOOTINGS: 0-k
MTEMPORARY POLr,:
UNDERSLA:
INSPECTION NO. 2 - PLUMBING:
__ -d
X INSPECTION NO. 3 - ROUGH -IN:
11 INSPECTION NO. 4 - FINAL:
ADD. TEMPORARY CERTIFICATE OF OCCUPANCY PERMIT ISSUED:
ST.
FT.
_ST.
FT.
CERTIFICATE OF OCCUPANCY PEAMIT ISSUED:
OTHER: