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Sewer Connection Application <br /> Windsor Sanitary District#1 <br /> Application No. r' 1 f <br /> Date: I , <br /> -1-; h f r = • hereby makes application for sewer service at the following location: <br /> (Owner) <br /> Address: Li.' ,t.c, t• y _/, ,i Lot: :,- ,.-- Block: __ <br /> Parcel No. - Addition: <br /> Type of Building: - Single Family Multi-unit dwelling Commercial ...- Industrial <br /> Kind of Service: ,---`New Replacement Improvement <br /> Size of Connection: - Type of Material <br /> T <br /> Name and address of firm doing the proposed work: <br /> The customer is responsible for the cost of material and installation from the sewer main to the structure. If a road <br /> crossing is necessary, trenches in paved streets shall be refilled with compacted sand or gravel. There will be 6" <br /> deep concrete bridging placed over the excavation and 2"bituminous mixture(hot mix)placed over the concrete <br /> to match street grade. <br /> Remarks: <br /> In consideration of the granting of this permit the undersigned agrees: <br /> 1. To accept and abide by all provisions of the sewer use ordinances of the Madison Metropolitan <br /> Sewerage District and the Windsor Sanitary District#1 and all other pertinent ordinances or <br /> regulation that may be adopted in the future. <br /> 2. To maintain the building sewer at no expense to Windsor Sanitary District#1 <br /> 3. To notify the Town of Windsor Plumbing Inspector when the building sewer is completed and <br /> ready for inspection, but before any portion of the work is covered. <br /> 4. To install tracer wire and grounding rod in accordance with WSD# 1 ordinance. <br /> Remarks: <br /> t/ `y f .Date: 7 Signed <br /> (aPiSli t \-__ <br /> $ ,!' Hookup fees paid. 1,?�`( J--f".<7------- (/) ;,;, <br /> (address of applicant) <br /> 4 rt /' f <br /> S e*endent, clerk, etc.) (phone) <br /> ,i <br /> CONDITIONS: <br />