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0171.97 Sewer/Water Permit/s
' . \ a CL'AY`T.OINNSMIP �2�GIONAL 1NAS7�'bl$7�tICt F1NAl�SANITARY SEINER PERMIf` .. .. ... _ . � . . °�[J DI V ID UAJ._1,0T3/�XISTING= Project Title: /'�/C.��7/QQ/j ,it"A4.'.GJ _ ' , _. ` _ L"'ocalion:, ����r�'Ie v7C«/,7' Owner/Builde�: � �7ilS - /�O' _ M� G!L Cot�;#' �G� +StreetAddFe'ss 97�OS—�il��t./!.l��PLbK ���' � . P -�/603�,.., . city; (i��l�Z. Zi� : Avail'aliility Paid_" Con�gction Fee Pa�d / S v � _ � Interceptor Cfiarges Paid; � Surcharges; - . � � pLE�$� f�OJ�:: Ins)allalion of buildmg sewet sfiall,be,pe� the specificationSko�l}i� Clay; Townsfiip Regional Waste.D,istrict (see reverse) All fnstallations 'sfiall be Inspede� �y bistric[ _ -.. . ... _ �. ..-, � . . . . . personn,gl'during "open Irench" phase°and 6efo�e tiackfilling wilh send or'sfone"lo �Ix;Inches abo_ye"fhe pipe:�1Q`footing.�or=toundation d�alris, or�;otRersources+oi��ground o�s{otttn'v�4e� §hall be permitted�to enter tfie,DistricCs sanita,ry sewer�system: The Disl�ict will assumeanoylf�611ity';fot drainswhicfi;a�e:below,tfig;grade level,of the nearesUidownstream,manhole no�for�eterel§�which are_eztended tieneath dFiveways+or sidewalks. The permit.holdec (propeity owner de'v��operor � buflder) will be�responsble;: For damages to tfie Distiict's sewers,:syslem including�Fn�nfioles, castings, manhole lids�and.the,like, causedby�constructionaactivity�on the building�sl�� wliicfi.;is the supject of lhis�permiC tfie,permit;holdei isalso responsible., � ".,' Inspec4ions by tfie D�strict,are MANDATORY and shafi:6e:arcanged by contacting 1hH Districl,'s office"at 844-9200,one,to`four hours(in advance:�All new'construction will be placed on,bllling six in`ontfis after connection fias been made, � .... . _ . . _ . . . 9 By::signing below; I altest tlial I am;familiar with�`the District's specifications�anil,agree _o accept -- ° responsbility forall work done und`erlhis perrnit: � ,(1cl�:r,rx1�. � ,h�.� � �'�. �,°, Builde�/Owner°Signaiure Pho � • `�' Inspection Fee �Faid: $�Q_0 J� ��site pl �6Fnm G• , ,�� ', Permil; sued this, -�day o( � 199�{ ,s ���D F � „ � _ h,��; . Jay'W.,,:Iley„Ulilily Mariager" � � �° � '�GIONIICM� . . .... . . Permit;4alid only with CTRWD seal In ted ink:, . neyr;,;o;:ss'r�;i � . .