35-089 (3) Y
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WHITMAN & HOWARD INC.
Standard Tie Form
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Client oie;,yaToA1 M�+ _ Job No. -ao
Location 90
Description of Installation e, " pvc, SswfQ
sERV�cE
Make and Type of Valve OL OR
Remarks
Copy to Client Office Fide
Date 7— g--61 $y : , yAW
Field Observer
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MUNICIPAL SEWER AVA E V E
Northampton Sewer Depa. +
125 Locust St.
Northampton, MA 010 0 DEPT OF BU�l0t INSPECTIONS
587-1092 NORTHAMPTON,MA 01060
Location: 1195 Burts Pit Road
Inquiry Made By: Paul Martin 582-0727
Date of Inquiry: April 18, 2001
Municipal Sewer Main in Front of Location: Yes X No
Size of Sewer Main: 8" Material: PVC Age: 1981
Depth of Sewer Main:
Size of Service Connection: 6"
Comments:
A corresponding "sewer entrance fee" shall be paid prior to making any connection to the
municipal sewer system. Arrangements of such installation shall be made with the Northampton
Sewer Department with a minimum of 5 working days notification. All work shall conform to
Northapen Sewer DyepartWnt specifications.
George Br , Superintendent
Wastewater Treatment Plant
cc: George Andrikidis, Acting Director DPW
Guilford Mooring, Assistant Director DPW
V/Anthony Patillo, Building Inspector