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Water Entry Application
DATE: March 4, 1992 SIGNED:,-"-t.-I,
(Applicant) Douglas Blowers
Roaring Brook Rd. Conway MA 01341
(Address of Applicant)
200.00 entry fee paid. Y 9
Application approved and permit issued:
DATE: 3 3 !9 i- c
SIGNED �
(Director of Public Works)
The connection to the house shall take place at existing curb
box for Lot 14B. Box has been found and marked.
RESIDENTIAL OR COMMERCIAL BUILDING WATER APPLICATION
To the City of NORTHAMPTON, MASSACHUSETTS:
The undersigned, being the Owner of the
Owner, Owner's Agent
property located at 33 Birch Lane does
(Number) (Street)
3/4"
hereby request a permit to install and connect a E2 Water
(Size)
Service to the Residence at said location.
(Residence, Commercial Bldg. , etc. )
1. "Owner shall mean the person holding title to the property
served or to be served by the water service.
2. The name and address of person or firm who will perform the
proposed work is DMO Construction
3. Plan/Sketch and specification for the proposed water service
shall be attached to permit.
In consideration of the granting of this permit, the undersigned
agrees:
1. The Water Department shall make all taps to the water main.
2. WATER ENTRY PERMIT fee is $200.00.
3. Additional work performed by City forces from the water main
to streetline shall be paid at the prevailing labor rates and
cost of material.
Water Meters 5/8" $100.00
3/4" $150.00
1" $200.00
Water Meters 1 1/2" and above shall be purchased by the owners -
using city specs.
4. The Water Superintendent shall be notifed for water line
inspection prior to backfill of trench.