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Home My WebLink About0202.97 Sewer/Water Permit/s . ry� , � �+��, �« ' . ' , . ,!`y� t�Y'�vi Kt f ,�� 1��.�,�y' �. d 1 yi9.'�4a • , . • . � . . � �'$ . >'nIc� �t :"� t t f�j P Po�4 F �i � „ ' � �$ n � ll ; � .r 15 �'. u�� u ;s � ' . a _ . . „ ' ��{"''� 9 FI�Y� _ '�I "2 J:� f S.� . �'' 4 ` � � `f F 17 i� .. k �:J�� . . CLAY T0INNSHIP ��IONAL WAST��b�StFlICt ,� ,>, ' . �; '�n�ni SA��fI�IfY S�WER F�ERiVIIT�T�'i� � t �c m�,`'�f _ . ' ?� �e .. . . ' . �'rM�' �'�°a�f7Y[B F . st �PL�L�en� 5�� rn'Rr.# � � � . � r�' . , . � • ��;vin�AL L•07�/�XISTING'BUI�bING�'. r a _ y ,a � v.r� v x z�� . � •• ' �� x�-�yrvr+ar�"r �.7' �°r�'} � s(�v," i IS .t� �'`cd �, - f o-4 � a� �" �i� ��l �M.G��i y� il� r n �{.7 f{ro�uet�(��''i i �..i��f F i . 1 �< - 1.0 � �� 'u s /y� M Y � i � Project Title � /�%�L�� a/'J, D� � � � Y , , < lh PP1 t� � ..Yro .s -'� hTa� ' �-. F .-' �' � b n1 k ^ri i�� 1 p �N I I� `i i i_ �'A p 4 � ��Ie��r�� r�eh �* ,�r. ,� ,� q , � a 4 ..��.� 4� a � . Location: � ,, {� �, + � >,� J�t,� . , � � //u i.,:w1*GG�it'i Q � . a , '�« sx + + '�t �AV/1' r fY��/ES L a A Il_ 4 a r OwnedBwlder � , � , : ° - :� . va r � `�'��,..'��7..� '�-�1��-'� ,k • ° Lot# �a' ' Street�Address , � ` � 'N1 ,,o n4 /ND � �+�"'iTi'�,ff .. o ,, ' � ' . ' . . ��- � �'t� C , ,. Cit � �QiYyIGI. �Zip , ��v?�x W � ' � .. ' . - . Y� _ �� . . �� . �t �yt��,�� , . �. -� .- . . , _�' �P��.:�r� �� Y :"01 �� :'�r.+r�i'. . r + � � � � Connection Fee Paid�� ✓1D �'`�k`" � ' } . � - � Availatiility Paid." : . � ,`.3.,�„��, r - , • . . . " i. . :7:�' � . ' < k - , . ` .ni9 iRn��r., M''.ti�i°f'�°'r,�r � � 4 ,. � IniercePtor Charges Paid � ' � - Surcharges � �r � � �� ,� k :, e � . � «� �,-�� - • '. V 1V ( '.. R� � s ' ) �Nf > `^� � E1 f ,�I ,� tli �nrn�YbY)�)p ��$ . !'� . . �, ��Y%�C ��'�! 1 � ( . !'4t` 4 L tt{Tal , ,� �FASE NOTE �.= Installation�of bwlding sewer shall be per the speciflcaUons b� the Ciay� Township Regional Wasle�`Distnct (see reverse): All Installations shali be Inspecied�by DlsMct , �' personnel dunng;.-",open t�ench pha'se anilwbefo�backiilling wdh sand or slone toi3l�i�loches ,,. ' � -' above the pipe 'rLQ footingior Toundatlon d�ains� or other<sources o��rouna or�slortn�i�I�� sliall :` � : � be perrnitted to enter the Distnct s samtary=sewerisystem The Districl��Nill'�ssum��id,IlalillH`y for ,S. � ��- drains which are_tielow the.graderlevel of the hearestadownstream manhe�l�e owne��d�v��operi or =,' � ' are exl'ended beneath driveways or sidewalks 7he perinitUholder (prop Y , ti bwlder}'will be responsible. For damage� to�ttie,bistr(cts sewers �ystem Inciudin� m�hhofes � � ca s tings manhole lids and the like :caused by,construction activNy on the bull�in� §11��ii�l'eti ts :' �, �. ��.� ' ,the sutijed of this permit tlie permit holder is filSo res o�sible �' � �k. ; � �"°��'� ��;' a 3.+ , ��,P , i v� w n ��w i '�.• � ,�,.. � . -��. �i � .� 5��' � 4 ly' �.n�h� i' � ,. .` � 1 k A V�N JI �yj C Y4 Inspectbns by lhe Distnctare MANDATORY &nd�shall be arranged,b°yrconlaatin� �� isincls - r office;at 844-9200 onedo�four.hours�n advance_�All new constnictio nwill be placed or1 billing `six' ` - monihs?afte�connectionchas been made y ' r'��i=� . ^�" '�' f`� r:y , ' . � � .r -=� i p! � �' y..: �,' �ti�� i thu . . . By�signing below: I attes(th'at I am�tainiliar with�the Dist�ictsxspedfloatlons and agree IoWaccept „ ". �n� r r : ; responsibilfty forall work;done undecthis pfe�rmii`,t ', t *��'��r�y,'/`a�� ' '� 7 f T I j J�.:� � 3 '� •- x f �.1 R i 4'S'4'l ,t�,f�c,a�, � �;ji%u-�- � � '" � ��j S, Bi ; �� , . .S9 r �� . ,k � . �� , . � � ,. �. Phone Af�.' ��.i. ��' O Hd ��r�M Builder/0wneraSignalure . , � rf. •.��A1 f ,_� � ^� 5ite`pians submltt" � � . `�� . Inspection Fee Raid $�iQ2 — y �,`, �' 9 . . � � ., a+�`" � � �� ., Permit issued tfiis�.'day of 'h 199�• , y "` , � "�' • � - �. , . , �, � , � � CT��. �� ; �,� �. , , � . . � � . , ;�� . . . �,; Jay Wi'Alley, Utilily Manager � �� 'o - oy , . J ''y� r + '� 4� � ,:, sH�.. x '�°p5~ :.,. ,,.t : . , � • � � petinit valid only wdh:C�f��'. , d ink. ;,ti.. .. . � ' ', *' '" � . ' _ • - i p. . fN ��-0�-�CII . ' ' ' � . ' � ' . ' ). . .. If � , '..�'•. . .. ' . . • .. � t ' . . . �: ��q� ' . . , . _ � . ' . . . .'G. ` . . . �'�h��.i ' . � ' � . ., ' � ..