HomeMy WebLinkAboutApplication & Inspection RecordIMSPECTION RECORD
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LOCATION: �y
BUILDING PERMIT NO.:
TYPE OF CONSTRUCTION: y
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CITY OF CARMEL
APPLICATION FOR SEWER PERMIT
PERMIT N0: iIJ i�_�J - - .----.---DATE
APPLICATION IS HEREBY MADE FOR PERMISSION TO CONNECT THE BUILDING AT:
SUBDIVISION i�L I L4 (QT NO:_SECTION NO:
—
ADDRESS Ir) 3n 9
STREET,
WITH THE PUBLIC SANITARY SEWER ON
THIS APPLICATION IS MADE BY: STREET.
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\OWNER OROR AUTHOR�D�-
BUSINESS ADDRESS_
TEL:_
THE PLUMBER MAKING INSTALLATION WILL BE:
PHONE:___ P�(kyER'3 BOND EXPIRES. -
PE RMIT
XPIRES:PERMIT ISSUED BYls�'L,
_(SIGNATURE)
THE BUILDING SEWER SMALL BE VITRIFIED CLAY P"01- 6 INCHES IN DIAMETER
MEETING ASTM SPECIFICATIONS C -100-T4 FOR EXTRA STdiflr4TM CLAY PIPE OR
LATESEWERST
HAV[ISION SJOIINTSRMEETINGAASTMLS CAT10NRSP[tIFiBt py�s4O
1�WRRTfNG.
LATEST REVISION. THE SEWER SHALL It INSTALLED IN ACCORDANCE WITH -ASTM
INSTALLATIONSMSMALLFORM Of IN PLUMBING
TRICT COMPLIANCEHWITHATE PERTINENNTTIC Y OFLI
CARMEL ORDINANCES . A L INS TA
ANO APPROVPD •v Tu. �.... .. T MA L_RE "OPEN TR/Y�.." I.........
DENIAL OF PUTURC SIWCR+PCRMITSuAND/OR DENIAL OF WATER CONNECTIONS,
NO FOOTING OR FOUNDATION DRAINS OR OTHER WATER OR
ND 0/ GW
lS ROUROU
STORM WATER SHALL BE PERMITTED TO ENTER TM[ SOURCRCEiC fGWATER INS -
HOURS IN AVANCE.
PECTIS
INSPECT10NSDWILL RSEUMADE ONTSATURDAYT04 SUNDAY4On HOLIDAYSOUNLESS
ARRANGEMENTS ARC MAD[ AT LEAST 24 HOURS IN ADVANCE. ALL PLUMBERS ON
CONTRACTORS INSTALLING SEWER (OR WATER) LINES SMALL HAVE A PLUMBERS
BOND POSTED WITH THE CLERK TRCASURER'3 OFFICE.
f.UT, A SEPARATE IF ANY STREET MUST Of
STREET CUT PERMIT SMALL ALSO Be OBTAINED.
SPECIAL CONDITIONS:
i HAVE READ THE CONDITIONS OF THIS PERMIT AND "Off TO ACCEPT THE
RESPONSIBILITY PM ALL WORK DONE UNDER THIS PERMIT,
SI6NED
1 CO EX�OR AYT{R)RIZED PLUMBER)