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11
AGREEMENT
The builder accepts this permit with the knowledge
that the sanitary facilities are at or near capacity. In
the event the State Board of Health or any other governmental
agency orders a building moratadrium in Carmel or Clay
Township, or causes the Town of Carmel to declare a
moratorium because of this sewer problem, the undersigned
builder agrees to hold harmless the Town of Carmel and/or its
officials from any and all costs, expenses, Judgments and
attorney fees resulting from such moratorium.
WITNESS:
DATED 5-a/
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Bus er
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CAR 1w
APPLICATION AND f"MY T
CITY
Applicatio is h reby made r saftev
No.—
Addition
o.Addition with the city4s sewer main a
a inch Y.C.P., or C.I.Soil Pipe.
feet North, South, East, Vest of the
of
Ask Clerk to see Ordinance S-3 for cc
shall be ASTM C200 -65T. Joints shall
properties ASTM C425-64. Instailatii
cations C12-64. No pipe smaller that
All material and workmanship will be
Ordinances relative to such work and
Superintendent before and after packs
result in (A) Digging up and redoing
Denial of future application for Peri
until w rk is satisfactory.
K
To be filled in by installer before I
PERMIT NO. DATE NO.
LOT
BLK-
OWNERSIZE OF P ----
Vi
LOCATION OF TAP
F ROM LINE OF
DEPTH OF MAIN SEVEN FT. Eh'
FROM LINE OF
DEPTH OF PROPERTY LINE
PLUMBER
REMARKS
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