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CARMEL
APPLICATION AND PERMIT FOR SMER SERVICE
STATE
PERMIT NO Z3-%16 ;ft%7z_
Application is her by made fo- authority to connect the premises at
No. d` � L t Street, Ave., Lot Block {.3
Addition with the city's sewer wain on
Street, Ave., by
a inch Y.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.
CLERK644* WAUTHORIZED PLUM8?R
11�/be filled in by installer before backfilling will be aut;h ized.
PERMIT NO. DATE NO. STREET
LOT .eL BLK. ��� �,a, ADD.
OWNER_
SIZE OF PIPE KIND
LOCATION OF TAP FEET
FROM
LINE OF ST.
DEPTH OF MAIN SEWER FT. ENTERS LOT AT
FROM
DEPTH OF PROPERTY LINE
PLUMBER
REMARKS
10-V-76
LINE OF
CITY INSPECTOR
FT.
ST.
FT.
Builder: Cl /4 T S ze ���N C �j✓
Location:— 9 G
Building Permit No. _'S�%-T�i
type of cons truc tion s
Inspection No 1 - Footings:
t' Inspection No. 2 - Rough -in: — �-
/0
d
91 Inspection No. 3 - Final:
Other:
2/1/73
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