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� ., , City' of'�Carrr�el�
, � ; � .Application, for�SEWER P.ERMIT
� � ' PER�MIT NO; "C�"c�;�.'_ . . . DATE: ' II ' � / 4
APP'LICATION'I H REBY MADE FQR PERMIS$ION TO CONNECT THE BUILDING.AT:
' = SUBDIVISION':�� �:� �nCQ(� LOT NO ; 9/{ SECTION NO: 3
ADDRESS:. �7(cy a STREET: : �q�y�g",� ��y�
. W�T H T H E P U B L I C S E W E R O N 1/ %/ O U p ' S T R E E T.
THIS APPLICATION IS'MADE BY: �Qy{ I��dsi�
, � o (ONMERORAUTHOR2EDPLUM6EF�
"�B.USINESS ADDRESS; '. T�ELEPHONE:
, � . :. THE PLUMBER MAKING INSTALLATION WILL BE:
`PHQNE ° . • � � PLUMBER'S BOND EXPIR
� PERMIT ISSUED BY: . 2 q� (signature)
° ' . � . . ��uu,; �:��� : , �2 '� '�
� The; building sewer shail 6e pvc sewer pipe;meeting ASTM specifications 3034 SDR 35 of
, �� latest,revision; or wtrrfied�clay pipe, meeting^ASTM�specifications C-700 for extra strength clay
_ pipebf�latest �evision unless otfier materials ar.e hereby permitted in writing; The sewer shall
� , � be, installed,�in aeco�dance with.AST,M G-12 fo� e�itra strength clay pipe and ASTM 2321 for
',pvc+pipe and the lJnrform Plumbing,Code,for the State'of"indiana. All installations shall be in
'� strict compliance°with pertinent Gity of Carmel ,ordinances. Ail building sewers shall be 6"
- :diameter: • �
All installations shall be ='open trench" 'inspected and approved bv the carmel sewer
� , ; department.before: any backfilling is' done. Non-cornpliance may ;result in digging up the
� •. . ,sewe� installation and/or dernial of future sewer`perm'its and/or denial:of waterconnections.
� � �'No:footing or.fouridation drains or other sou�ces of grownd water or storm water shall be
.• , permitted tq;enter the public sewer. - ' ' �
� - �Sewer insoections should be'requested at 571-2441 one to four hours in advance.
No inspections, or installatigns will'be made on. Saturday or Sunday or holidays unless
_ arrangements are;made at• least 24 hours in advance;� 'All plumtiers or contractors installing
, , sewer (or .water)`lines shall have- a plum6er's bond posted with� the CITY ENGINEER'S
OFFICE. If any street�must=6e:cut, a separate:street cut permit shall'be obtained. '
; I'.have read''the cogditions of this permit and agree to accept the responsibility�for all work
' cJone unde is ermit:
,
Signed ', ' , , , / ; �• . � (;0�����0`J�
� � . i
Special conditions:.
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