Laserfiche WebLink
Sewer Connection Application <br /> Windsor Sanitary District#1 <br /> Application No. 5397 Date: Sept. 1. 2015 <br /> Veridian Homes AB: LLC , hereby makes application for sewer service at the following location: <br /> (Owner) <br /> Address: Circle Tram Way — - Lot: 24 Block:..— <br /> Parcel No. --- Addition: Holland Fields <br /> Type of Building: X Single Family _ Multi-unit dwelling _- Commercial -_.___Industrial <br /> Kind of Service: x New Replacement Improvement <br /> Size of Connection: 4 inch Type of Material PVC <br /> Name and address of firm doing the proposed work: Dave Jones Plumbing <br /> Madison. WI <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 /> V { � C t`C411 t1U e <br /> Date: Sept. 1, 2015 Signed • i <br /> (applicant) / g0 S 71--ory)4/00, <br /> $_ ,00.00-lookup fees paid. M fiLkhatnil ` (,E 7:12..R-3-7 l <br /> (address of applicant) <br /> (Su rintendent, clerk, etc.) (phone) <br /> CONDITIONS: <br />