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| SEWER
CONNECTION |
THE
CITY OF CLEVELAND
DEPARTMENT OF PUBLIC UTILITIES
DIVISION OF WATER POLLUTION CONTROL |
| IMPORTANT:
The City is not responsible if the measurements given
on said permit are not correct. |
SEWERS
To Department Of Public Utilities |
The undersigned applies for permission to
inch house sewer or drain from House No.
on
Sublot No.
of
Allotment; located on the
side of
which lot has a frontage upon said street of
feet and is owned by
and thereon tenements, occupied as
and desires to connect the same with
Sewer, branch of
Sewer, to be done in accordance with the ordinances
governing the same.
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(Only Alphabets)
(Owner) |
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By
and at the request of the above named person
(Only Alphabets) hereby agree to execute the work
on said sewer or drain in strict conformity with the
provisions of the ordinances provided for the tapping
of public sewers or drains, and the rules and regulations
of the Department Of Public Utilities now in force.
And the undersigned further agrees to hold the said
city harmless against all claims for damages to person
and property which may be occasioned in any manner
by the putting in of said sewer or drain. |
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(Licensed Sewer Builder) |
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| READ
CAREFULLY |
NO
WORK OF LAYING OR REPAIRING DRAINS OR SEWERS CAN BE
COMMENCED OR CONTINUED WITHOUT THE PERMIT BEING ON
THE GROUND, IN THE HANDS OF THE SEWER BUILDER OR OF
ONE EMPLOYED BY THE SEWER BUILDER. |
Applications
for permits to connect with sewers must be made by
the owners of the property to be drained, or by their
legally authorized agents and must be accompanied
by a clear description of the premises to be drained
as provided in the provided in the printed form of
application issued by the Department of Public Utilities.
Notice must be given at the office of the Commissioner
of Streets as to the time when the pavement upon any
street or public highway is to be taken up for the
purpose of laying or repairing any private drain or
sewer.
All House Sewer Connections laid within the lines
of any street or Public Highway must be made in the
presence of a city inspector and shall be laid on
an inclination of one-quarter inch in each lineal
foot of pipe; except in special cases where the same
shall be laid at the inclination or depth as directed
by the Commissioner of Water Pollution Control.
Inspectors will be furnished on application at the
office of the Division Of Water Pollution Control.
Inspection is mandatory on both single and double
sewer systems.
Application for Inspectors must be made between the
hours of 8:00 am and 5:00 pm and all the necessary
tools and material must be on the ground, and trench
open and in a condition to lay pipe promptly at the
time the Inspector is ordered on the ground.
It must distinctly understood that where digging is
made in clay soil the refilling must be tamped and
not puddled. where the digging is sand the refilling
must be puddled.
When drain connections exist at curb lines, said connection
ends will first be uncovered and drain trench dug
from this point onto private property. Pipe must be
laid starting from connecting ends, on proper grade,
to building or dwelling to be drained.
Any work not in accordance with above regulations
will be removed and caused to be installed properly.
Calls for inspectors - You must call before 8:30am
for morning inspection, and before 11:30am for afternoon
inspection.
Openings must be secured in accordance to the rules
& regulations of the Division of Engineering and
Division Of Streets. |
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| Office
of COMMISSIONER OF WATER POLLUTIONS CONTROL |
| To
Department Of Public Utilities |
I
recommend that a permit be granted to
owner
Ave. BOOK NO.
PAGE
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| MEASUREMENTS
TO SLANT |
MANHOLE
MEASUREMENTS |
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| FOREMAN'S
RETURN |
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| I
Hereby certify that the within connection enters lot
at a point
(Number) feet
(Point Of Compass) line of
said lot and was properly made by me on
day of
in conformity with the rules and regulations referred
to within; that the connection was made with the recorded
junction of said lot without opening or in any way
injuring the main or principal sewer; that said connection
was laid to true and proper grade, and constructed
of sound and substantial
(Kind of Pipe) sewer pipe, with
the joints properly sealed and tight and that the
hole was left clean and in good condition.
Measurement used was
feet
inches
Depth of connection
at the main sewer
feet
Depth of connection
at the curb
feet
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