35-104 (3) � I
j WHITMAN & HOWARD INC.
Standard Tie Form
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Client Job No. /-pp
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Description of Installation
Make and Type of Valve OL OR��
Remarksp,Y.r1 ,4/>g� lL (o.ST Z/ ►t
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Date $y
Field Observer
MUNICIPAL SEWER AVAILABILITY
Northampton Streets Department
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125 Locust Street
Northampton, MA 01060 M,A R
587-1570
Location: 66 Drewson Drive
Inquiry Made By: Wendy Martinez 584-6146
Date of Inquiry: 03-15-02
Municipal Sewer Main in Front of Location: Yes x No
Size of Sewer Main: 811 Material: Age:
Depth of Sewer Main:
Size of Service Connection: 6" P.V.C.
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
Streets Department with a minimum of 5 working days notification. All work shall conform to
Northampton Streets Department specifications.
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Josepif-iliomas, Superintendent
Streets Department
cc: Ned Huntley, Asst. City Engineer
Anthony Patillo, Building Inspector