Laserfiche WebLink
IR u i ki t c > roc (' 4, to m H O W) r r <br /> CONTRACT 8.. 6 g <br /> SEWER CONNECTION APPLICATION <br /> Z p <br /> • <br /> WINDSOR SANITARY DISTRICT NO. 1 <br /> Application No. n -, <br /> { <br /> Date Li' - t <br /> 54--v r'1 Ant f f i c 5. hereby makes application for sewer service at the <br /> (Owner) <br /> following location: <br /> Address 4/1/4It , Lot Block <br /> Parcel No. Addition <br /> Type of Building: Single Family Multi-unit dwelling <br /> Commercial Industrial <br /> Kind of Service: New Replacement Improvement <br /> Size of Connection: Type of Material F c <br /> Name and address of firm doing the proposed work: I jY1f, {.-orb <br /> A <br /> The customer is responsible for the cost of material and installation from the <br /> sewer main to the structure. If a road crossing is necessary, trenchs in paved <br /> streets shall be refilled with compacted sand or gravel. There will be 6" deep <br /> concrete bridging placed over the excavation and 2" bituminus mixture (hot mix) <br /> placed over the concrete 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 <br /> of the Madison Metropolitian Sewerage District and the Windsor <br /> Sanitary District No. 1 and all other pertinent ordinances or <br /> regulations that may be adopted in the future. <br /> 2. To maintain the building sewer at no expense to Windsor Sanitary <br /> District No. 1. <br /> 3. To notify the Town of Windsor plumbing inspector when the building <br /> sewer is completed and ready for inspection, but before any portion <br /> of the work is covered. <br /> REMARKS: <br /> Date I5 - (l r( Signed <br /> aT iisanti <br /> $ C;(_, °(' Hookup fees paid. <br /> Application approved: address of applicant) <br /> Date )0 �� 1 <br /> (ione7 <br /> (superintendent, clerk, etc. ) <br /> CONDITIO'JS: <br /> is 1dO13A3019NINN 1d 01100 37 <br /> 800z 9 l d3S <br /> OA 3 <br />