HomeMy WebLinkAboutSewer ApplicationUARMEL
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`ACITY
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Application is hereby made for authority to connect the premises at
No., , ' s Post, Aga. , Lot Block
Addition with the city's sewer main on Street, ve.. by
a inch V.C.P.. or C.I.Soil Pipe. -Connection will be made
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 C12-64. 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 of future application for permit, (C) Denial of water connection
until work is satisfactory.
rRKOWNER OR AUTHORIZEDPLUMBER
T be filled in by installer before backfilling will be authorized.
PERMIT NO. DATE NO.
LOT
OWNER
BLK.
SIZE OF PIPE KIND
LOCATION OF TAP
FEET
STREET
ff
FROM LINE OF ST.
DEPTH OF MAIN SEWER
FT. ENTERS LOT AT
FT.
FROM LINE OF ST.
DEPTH OF PROPERTY LINE FT.
PLUNGER
REMARKS
CITY INSPECTOR
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