HomeMy WebLinkAboutPermit Wastewater Connection WW-07-3955 Permit Number WW-O - c.�//�
City of South Burlington, Vermont
Application for Wastewater Connection
Property Owner: Ce.4 "'}zT'iE'S, L&„G. Phone: ``35-232 6
Address: '7728 -riLl,.1 Qo,r+v a P 10,c- 4.8-5
HyCLP✓cS{Znle r . Y 'p5A132.
Applicant: . ie Phone:
Address:
Project Location:_to AA-lr�l �..o.tr�te (i u o 141.4t.ececAtzci tza04.0)
❑Residential li-eb nhiercial 0 On-Site Septic
Person or firm doing the work: M4,.I•45=4,4 EPia,Ti+ Mcxu�Cep Phone: 863- ' l
Address: 0s 5i-hipt ptr-+E Rapp
I c.L rO.-J r .--t- c:y54-)S
Sketch of Sewer Connection(For Inspector Use Only):
rfr-'...-/, (-0.,,,,...e.4/6„-, ,...0 ..5,,,,,,,,,
ae:0, 6,,,,,ee.-ian
,
Fxrsti.JG Ito.___-.___,_
8x4 QlochAct%iZ-
%
4xa` ciucEQ-..-
p,5 —L
lrewsr.36uK. .v-.-.__.-__ i�,{L'el Fxis54
9 t[U6 coo 6 --
G4 t v.,,duc€R. _—__.-___-_
lt4 60unZ
Bx4`�acuLeL
o„ c-
i
A
i
_ P)11,! /J TS I E kvr+non ,irs
In consideration of the granting of this permit,the undersigned agrees:
I. To accept a:.d abide by all provisions of the Sewer Ordinance,as from time to time amended,of the City of South Burlington,
and all other pertinent ordinances or regulations that may be adopted in the future.
2. To maintain the building sewer at no expense to the City.
3. To notify the Department of Public Works when the sewer is ready for inspection and connection to the public sewer before any
portion of the work is covered.
4. To notify the Department of Public Works at least two(2)working dates in advance of the requested time for sewer inspection.
Call 658-7961 for an appointme
Applicant Signature: , _ —'Date: 3- 9-0'7 _
Inspection Fee: ZS
Recording Fee: * 11 Ar `
Application: ❑Rejected 0,41r ed 4/)
G)
Code Officer Signature: Date:
Date of Inspection: ,e> e)7 ''`��
Inspector's Signature: fa. 4. r(-
4It
a
• -- � 1
`¢� 4 �usyR � .Ye'{yy�(rFf
,
10/042007 .„ 1 z r...x . ,_, c . �'{
r
` - tr t�.,.��� ` 1
h-; W -4 ,.)..Re i<.^t. ydt . , '1 'y� ,tom-. _
P Yit FY
:\:
r "Yr 4
a, ?. aJ' ilk? a; :" '• # t'` ' "fir
wit r...r !.f%'^ '. a`3y ram,€� f" u a �°' '3.."L .
• T "ii
# .. A .Me R •fie �'•° . ,',yr; /"�~'F'�