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Applicat'ion for�SEWER'� PERAI4IT '
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251.`97 02/28/97
' PERMIT NO; � DATE: ,
APPLICATI01�;1�SBHE�iE�3�'M�DaE FORtiPER'ISSION`T,02eONNECT THE BUILDI�IG AT:
SUBDIVISION; 0 LOTNO: � SECTION NO:
ADDRESS:' . STREET:�
� WITH THE'PUBLIC��SEWER;ON' � �' � STREET.
THISAPPLICATION�IS MADE„BY; KHAMIS BUSLDERS
r�. . .
� . ' (OWNEROR�AU7HORIZED.PLUMOEF�
BIJSINESSADDRESS: 1315 .N. Arlington ' ._ TELEFHONE: 322=1e85
THE PLUMBER MAKING INSl'ALLATION .WILL BE:' FIxnL GRADE EXCAV.
PHONE: ��3-8262 PLUMBER'S BQND EXPIRES: 10/lii9�
• P_ERMITISSUED`BYs %� (signature)
���`G/� l_.f! �l% ��-h'-�` -
' Th�uilding sewer shall be pvc sewer pipe meeting ASTM specifications 3034 SDR' 35 of
latest revision; or vitrified clay pipe; meeting ASTM specifications Q-700 for extra strength clay
pipe of latest cewsiom uniess other materials are hereby pe�mitted' in writing. The sewer shall
� be instailed 'in: accordance .with ASTM C-12 for;extra str.ength clay pipe and ASTM 2321 for
pvc pipe aqd the Uniform Plumbing Gode.for the SEateof lndiana. All installations shallbe in
strict compliance witFi pertinent City. of Carmel ordinances: All building sewers shall be 6"
diameter. � '
�All installations shall be` "open' #rench" inspected and approved b rL the carmel sewer
� . d�artment.before•any backfilling "is done. Non-complianee may result in cligging up the
sewer'in'stailation andjor denial of future sewerpermits;and/or denial ofwater connections.
No footing, or'foundation�drains o� other soucces of� ground wafer or storm water shall be
per.mitted to enter,:the publie sewer. � _.
Sewer irispe"ctions sfiould"6e rec�uested aY571-2441 one to'four hours in advance.
No inspectiqns o� installations will be made on Saturday or Sunday or holidays unless
srrangements are made;at least 24 hours in.:advance. All plum6ers o� contractors installing
sewer (o� watec) lines shall ,have; a plurribers bond posted with 'fhe CITY ENGINEER'S
.OFFICE. If any'street inust be;cut; a separafe street cut permit shall be obtained.
, •,
I.FiaVe read the conclitions of this permit and agree to accept the responsibility for all work
idone ander this permit. .
Signecl:: ' f�l/,r.f��a,:;, ���C��
Special conditions:
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