35-164 (2) I '
WHITMAN & HOWARD INC.
Standard Tie Form
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Client Job No.' �/�3�r'S
Location
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Description of Installation
Make and Type of Valve OL OR
Remarks
Copy to client Office File
Date %/ ! By_ 'T�ZW44-� . .
Field Observer
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MUNICIPAL SEWER AVAILABILITY
Northampton Streets Department
125 Locust Street
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Northampton, MA 01060 F
587-1570
JUN 1 3 0 2
Location: 809 Ryan Road
DEFT 0 BLIHINNG IN�PFCT&?s
NnPTOW'-� kAA 01('60
Inquiry Made By: Scott Kennedy -,77
Date of Inquiry: 6-10-02
Municipal Sewer Main in Front of Location: Yes x No
Size of Sewer Main: 811 Material: PVC Age: 1984
Depth of Sewer Main: @ 10,
Size of Service Connection: 61@
Comments: 4 Foot Chimney 19' of .pipe to property line
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 Streets
Department with a minimum of 5 working days notification. All work shall conform to Northampton
Stre Department specifications.
Joseph if omas, Super endent
Streets Department
cc: Ned Huntley, Asst. City Engineer
Anthony Patillo, Building Inspector