35-096 (12) WHITMAN & HOWARD INC.
Standard Tie Form
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Client, orLTti/.ger,q o�✓ �� Job No. i- o06
Location
Description of Installation l::A
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Make and Type of Valve OL OR
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Copy to Client Office File
Date 7 S� �urv�r/ By
Field Observer
$500 . 00
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NORTHAMPTON SEWER DEPARTMENT
125 LOCUST STREET
NORTHAMPTON, MA. 01060
587-1092
Subject: Municipal Sewer Availability
Location: 12 Cahillnne Terrace
Inquiry Made By: Pioneer Valley Habitat for Humanity Roger Lind
253-2294
Date of Inquiry: October 5 . 1998
Municipal Sewer Main in Front of Location: YES X NO
Size/Material/Age of Sewer Main: 6" PVC
Depth of Sewer Main: 4 . 3
Size of Service Connection: h" PVC
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
confor o Northampton Sewer Department specifications.Ae�-
or e Bxd6hm
Superintendent of Wastewater
Treatment & Collection
cc: Samuel B. Brindis, Director, DPW
Gilford Mooring, Assistant Director DPW
George Andrikidis, Assistant City Engineer
Anthony Patillo, Building Inspector
C:\WP51\LETTER\SEWERFOR