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0130.97 Sewer/Water Permit/s (2)
`CCAY T,OINNSHIP REGIONAL WASTE.DISTRICT EINAL SANITARYr SEINER.PERMIT ►J�DLKLQUAL LOTS/EXISJjNG �UILDINGS'. , P,rojecl TiUe: ��il 'WASI � . ��N I"� 1 Localion:- _ HL�,UT/`Nc�-i.GN 'Cif�%°Sl> . - - _ � � _ _ Owiier/BuildeP. /,� ZT'-` % _ __ _ � _ ` �. :j. Lot�# /_J i l�eelAddFess ��✓�p SU`�O'N �,AG��.,ujQ . f . _ � � , ity �A�E''r/� G �iU',,, zip;. L�IP- O� �i � �t . , __ . � � � � i �° � . Availabili F id. ,Connection Fee Paid; �� -. '� •� r-ir.. .r . Interce�itor • iary s .aid:a � Surcharges; - .� ._. - eLEASE NqTE Irislallation of bwlding sewer;slial� be Pe� the specificalions of the Clay' 'TOwnshi _ Regional Waste Distric('(see reverse)_ All installalion's shall be^inspeded,by Dislricl - n � _ _ _. _ personnel d'uting "open lrench" pliase an_d before backfilling wiph sand or, 'slone to.siz inches, atiove Ihe,p�pe NO',fooling or,%oundalion drains�,�or�olher sources of g'round or sto mwater §fiaif be,permitted to enlerRie Disiriot'sssan�tary sewersyslem The Dislnct wilf as`sume no,liability,for' d�ains which are below the g`rade"level of tFie nearest downstrea'm manhole�nor for laterals which are,exteixied'abeneafli d�iveways or sidewalk`s The per`md hold'en (property,owner developer or• tiuilde�) will tie responsible. Fo�`damages to the DisUict s sew'ers�syetem including; manfioles, . . � �. _.. , casting"s; manhole lids7and the.like caused;by"construction acilvily,on the buildingisile wfiictl„is . . . __ lhe,(subject`of`.tfiis permit, the,permit,holder�is_ialso respons�ble:, � �� ^Inspections;'¢y'the:Dislrict are.MANi2ALQBY and shall be ar�enged by contacting lhe D�sincCs ofiice at 844-9200 one to four hours in advance. All new construction will be placed'on�billing,siz , _... - a.._ _ monifis afier connection has`been made. By signing below; J.attest tfial'I'am tamilia�with";the;DistricPs sPecificatl�tgg�,nd ag�ee`to accept . responsibility for alhwork done>underdhis permiP. •?=:�.y �a�.� rQ��/�D.��:��%�,�' - :�9��r"��Q�q. . Builder/Owner Signalure P 64e"� � � � �rJ f . Inspeclion Fee Paid: ,$55`00`� � _zsae�plai�.ssubmitted `�y _ � ��� r . // o �, �.� , _� Permit�issued lhis l( day.oL, J.0 99` �+_" �` `a"'• � ° , ' '� ��9'� . �� . ..y � ..', t �f __ , - � ..�' . y � ..� � a�r, �`�r Jay, ,Alley; Ulihty Manager `C� A�T ' \ojr . �` °;'y'ftrSw�P a��' Pennit;valid only with',GT,RIND,seal in red ink_., ie+.i i.oi.er,Rji+ .