HomeMy WebLinkAbout740227 Site PlanCARMEL
APPLICATION AND PERMIT FOR SEWER SERVICE
PERMIT NO.j_jf /?_
Application is hereby made for authority to connect the premises at
L
N o • M`s- , Lot �- B 1 o c k
. _ —t
4y
-`
Addition with the city's sewer main on__ --Street,Streev, 914
a inch V.C.P., or C.I-Soil Pipe. Connection will be made
North, South, East, West of the manhole located at the intersection
--�.
feet
and f
_ -
of ---and-
Ask Clerk to see Ordinance S-3 for complete specifications. Clay pipe
be materials having resilient
shall be ASTM C200 -65T. Joints shall
ASTM C425-64. Installation shall conform to ASTM specifi-
properties
cations C12-64. No pipe smaller than six (6) inches shall be used.
in complianceithSCity
All material and workmanship will be strict
work and shall be app Y
`
Ordinances relative to such
Superintendent before and after backfilling. Noncompliance may
(B)
result in (A) Digging up and redoing complete installation,
for (C) Denial of ter connection
Denial of future application permit,
until work is satisfactory.
R R U D PLUMB
3� x
P CLERK
To be filled in by installer before backfilling will be author zed.
f�r
STREET
PERMIT NO. DATE N0.
ADD.
LOT BLK.
OWNER
KIND
SIZE OF PIPE
FEET
'
LOCATION OF TAP
-
ST.
- -
FROM LINE OF__F
� T .
DEPTH OF MAIN SEWER I TFT. ENTERS L�TY'Ai T_
6 ?
INE�OF r - ST
FROM
DEPTH OF PROPERTY LINE
Pit.
PLUMBER
PP 4. t
REMARKS
CITY INSPECTOR_