35-096 (16) r �=
WHITMAN & HOWARD INC.
/7 Standard Tie Form
f
At
to �,_ 3y0' c
K
N
f
Client Job No. i- oo 6
Location
Description of Installation AdC
S s w f 2
Make and Type of Valve OL OR
Remarks S9ND/ �.r�AaE , Cod- 4 3
Copy to Client Office File
Dated el Tc��v.Fi By Z A h�91,C'E L L
Field Observer
:�-9
II ;
p l DEC I 1897 .
NORTHAMPTON SEWER DEPARTMENT
125 LOCUST STREET
DEPT
'; li s'
NORTHAMPTON, MA 01.060
586-6950 Ext. 277
Subject: Municipal Sewer Availability
Location: 12 Cahillane Terrace
Inquiry Made By: Darren Michaelis 508-677-393
Date of Inquiry: November 17, 1997
Municipal Sewer Main in Front of Location: YES _ NO
Size/Material/Age of Sewer Main: _ < _° ,- �' f -~ <�'��✓
Depth of Sewer Main:
Size of Servkde Connection:
k
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 Northampton Sewer Department specifications.
George Brehm
Superintendent of Wastewater
Treatment & Collection
cc: Samuel B. Brindis, Director, DPW
Peter McNulty, Jr. , Assistant Director, DPW
George Andrikidis, Assistant City Engineer
Anthony Patillo, Building Inspector•
A: \LMB\SEWER\Availabl. 50S