Laserfiche WebLink
Sewer Connection Application <br /> Windsor Sanitary District#1 <br /> Application No. 5399 <br /> Date: 09/15/2015 <br /> Veridian Homes AB, LLC hereby makes application for sewer service at the following location: <br /> (Owner) <br /> Address: Circle Tram Way Lot: 22 <br /> 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 /> Date: 09/15/201 V e.led,a `�f`6 1 r` ° �C <br /> 5 Signed el . <br /> (applicant) / Sp-zt �a,ivQ � lS�� �l_C S3�r 3 <br /> $(oDD.DG}lookup fees paid. Soi< 1 T 01L'vL . I LAO/ &4 <br /> (address of applicant) <br /> perintendent, clerk,etc.) (phone) <br /> rte -- 1 o Q <br /> CONDITIONS: <br />