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Permit Wastewater Connection WW-06-3865
Permit Number WW- dV - City of South Burlington, Vermont Application for Wastewater Connection Property Owner: J i M ] /y l`e 1/zxt �+3 P Y 1 � Phone: �Z Q jl,l 7 Address: O •g 01( //6 Applicant: C Phone: Address: Project Location: `/3 k/Vhy -ct `70 f>t)v! XResidential ❑ Commerc> n- it71! e i , /n , t ��( (�� ! Phone: Y / 77, Address: il( f(A&1(/1i( !/ Sketch of Sewer Connection (For Inspector Use Only): ifs 7/31/a� 3 ' >Fe 8' ( ARAC-)E., s'o A/ 5/i/o6 .� 1Gl) FE,QnLC v ------- ---- — .� KiRBY 4Zc csc of 156 �3._ U f t-PAcCo is c RE!ovJ k-r -7-A-/ -7;41 NTS In consideration of the granting of this permit,the undersigned agrees: 1. To accept and 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 days' advance of the requested time for sewer inspection. Call 658-7961 for an appointment. ��� Applicant Signature: Date: G>76e Inspection Fee: Recording Fee: Application: ❑ Rejected L 1/17C"/ Code Officer Signature: Date: Date of Inspection: 9/'�o 6 Inspector's Signature: j�JtJ, ^ r7v • • •.,•,• . -; '-%•.'' -- - ,'-1.... 'itIbi4i,`',11. •- • ''t-.7 41.- ...,,,t.'.-4.,ki.A.,. ' • :-.. ...17*lr.4 ,V.• ' ;;-. ;0001 t,--,- -k- ,-. . . .'• •••:---.`, • .,----, s7" - T '''"A)9 4,..40''41,' 4 . ,. , • ' .. ,, .t , P.4' "Iiik • . -4;',.,'.k,....-".• ,,',4 ' : . *., ,;•..h''';,', . . %._ _ .,,.. ... / 2.',`-, • . . ,. tk..• :'--- • ..•.• - ... -.. -.. ., ,. .. . _ . 1 , . .:--- - , - - . '. • '40 . , . ----- • '' ' '' •'' ' ' : ' ' ''''t--'• -''` • . ,. :'NN-,, •;;;*:-'4.;,•...4„.1„:' ' -.••?..1-,..'-e',4,',.*°&.;•"--•'-f.•::::<.• . • - -. . 4 ..- r-,:-Z„4,."'",`,:,-,,,;N":44‘.:.".,.'N-",•,•.•,". ,•••..,•••- -...;,,Si,-;,1,,,N,, .,t.• -',./..:-;:-.,:-&i'Ali1/4.,•F•. , . . •,,.-4„,,,..t,, .. 1 ,, . . ,-. -1'4,1 _ , . . ‘ •:-._ - ',- , , 'tk i — -2-'-`-',---• '' - . :....,-.0. '.1:%---.`" 1 -- 7....•leo 1... 4 r-4-•7 .../.. ,,..; ',4/.. '. -... --- . • •i' /' '/ ,' . '14' '--'-'''- -4 '•. . '' ' '''+ '';',; (f. ,..,- ?,..%') \I iltP.`,,, ;* ...'-: -'; •.4' l. ./'. ., .,.."-....., -...•... . ::-.• :.•-•• .. ,%is- '•,-::'r.A--- '''''' I','' •',It'''fir?..:: 4 ".IF „ ',..!... . . "C..z,„/' .:1 • . ' 'rr-ge,47'',.. '' , • i',•;''.-;‘:.:•,-:,,ii '",•.. ',...,•". -'').' -.1*-- `'\'; ,:-i A '•,' •10 •. I '- --.. / ••'''''''',,,...r" ^ -It ' '' ": '... ... 4, -. • ,-- .. , • ,.... -. . -, "it'..--'. .,;•'"". . -.'- 1--'•..":, --,- -• ., 4, li e Zir. __...'• -, , .-• ,, . • , • i •'' -‘...:'•'''' '-:::.:''. : •' 7 . ,_ ,,r • ,- • i ' :' 4.7.6 .! —.i• ---- r • . --'-•'•-- ...--.• ' -'4•..•_ '''., ••.!i;'' -••• •!..*''''':;'..,,,,e2T 10;,./y4,-`''''.."7-77-----t.'-,. •.);" -.,.._ . . .._ -.. . ..„,. ,_ - .., - ••,--044,- :4. I -.. . liro.--,-°::. ,.....- . .:. , :-..... v-• ...3et!,-ck:r4''..'.4$1;, ' . • ,..,,,, _ -,-..---- 41t;',..'. '''''."-.-_- • , ".., 4:2'). , ,. . •• ,_. .'• • .• '- >.''''' ••(_, -•-.,ii%:;•.:' ,*;,„._ _ - '''.. --'2.- ::4; ',..''''44t.' . ,-.. ,,,' '', .,'.1.'• -,•.'.'''.L,- - . ---[..."P.' '-14''''1 '' - • t.'''''.;-.;""' „- .rit, - .' ' - • -4" .. - . •WILA‘' -;',.;.,7-, - - • '— '.- 1-- - '