(A) Residential or commercial building sewer.
To the City of Chrisman: A. THE UNDERSIGNED, being the (owner, owner’s agent) of property located at (number) (street) DOES HEREBY REQUEST a permit to install and connect a building to serve the (residence, commercial building, etc.) at said location. 1. The following indicated fixtures will be connected to the proposed building sewer: Number Fixtures Number Fixtures Kitchen sinks Water closets Lavatories Bath tubs Laundry tubs Showers Urinals Garbage grinders Specify other fixtures . 2. The maximum number of persons who will use the above fixtures is . 3. The name and address of the person or firm who will perform the proposed work is . 4. Plans and specifications for the proposed building sewer are attached hereunto as Exhibit “A”. |
B. In consideration of the granting of this permit, THE UNDERSIGNED AGREES: 1. To accept and abide by all provisions of the City Code of the City of Chrisman, and of all other pertinent ordinances or regulations that may be adopted in the future. 2. To maintain the building sewer at no expense to the City. 3. To notify the City when the building sewer is ready for inspection and connection to the public sewer, but before any portion of the work is covered. DATE: SIGNED: (Applicant) (Address of Applicant) (Certification by City Treasurer) $ connection fee paid. $ inspection fee paid. Application approved and permit issued: DATE: SIGNED: (Mayor) |
(B) Private sewage disposal application.
To the City of Chrisman: A. THE UNDERSIGNED, being the (owner, owner’s agent) of the property located at (number) (street) DOES HEREBY REQUEST a permit to install sanitary sewage disposal facilities to serve the (residence, commercial building, etc.) at said location. 1. The proposed facilities include to be constructed in complete accordance with the plans and specifications attached hereunto as Exhibit”A”. 2. The area of the property is square feet (or square meters). 3. The name and address of the person or firm who will perform the work is . 4. The maximum number of persons to be served by the proposed facilities is . 5. The locations and nature of all sources of private or public water supply within the one hundred (100) feet (30.5 meters) of any boundary of said property are shown on the plat attached hereunto as Exhibit “B”. |
B. In consideration of the granting of this permit, THE UNDERSIGNED AGREES: 1. To furnish any additional information relating to the proposed work that shall be requested by the City. 2. To accept and abide by all provisions of the City Code, of the City of Chrisman, and of all other pertinent ordinances or regulations that may be adopted in the future. 3. To operate and maintain the wastewater disposal facilities covered by this application in a sanitary manner at all time, in compliance with all requirements of the City, and at no expense to the City. 4. To notify the City at least twenty-four (24) hours prior to commencement of the work proposed, and again at least twenty-four (24) hours prior to the covering of any underground portions of the installation. DATE: SIGNED: (Applicant) (Address of Applicant) (Certification by City Treasurer) $ inspection fee paid. Application approved and permit issued: DATE: SIGNED: (Mayor) |
(Ord. 5, Series 1981-1982, passed 8-24-1981)