HomeMy WebLinkAboutApplication for SewerAPPLICATION AND PF"IT FOR SEWER SERVICE
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ApplicatiQp is h reby wade r authority to connect the premises at
-, ,
No. 5;M, lot�,;��� Block u,
Addition with the cityQs sewer main on Streeti<fw-, 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
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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 ma
result in (A) Digging up and redoing complete installation, (81
Denial of future application for permit, (C) Denial of water connection
until w rk is atisfactory.
CLERKVtft —MER OR
To be filled in by installer before backfilling will be author fed.
PERMIT NO. DATE NO. STREET
LOT BLK. ADD.
J
SIZE OF PIft KIND
LOCATION OF TAP FEET
LINE OF ST.
DEPTH OF MAIN SEWEi FT. ENTERS LOT AT FT.
FROM LINE OF $T.
DEPTH OF PROPERTY LINE FT.
PLUMBER
REMARKS
x.,"-,21 7� CITY INSPECTOR
i»:TTaw MW
Builder: v G 4
Location: /
Building Permit %. 28S"� A:';*'
-
"ype of construction:
Lon Inspection No. 1 - Footings:��
Inspection No. 2 - Rwigh-in:
A,140 IF oA4�Croeo
Inspection ND. 3 - ftnal:��
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2/1/73