APPENDIX B:  SEWER TAP PERMIT APPLICATION
 
Sewer Tap Permit Application


   This is to certify that a sewer tap permit has been granted to ______________ for connection of a sewer tap/building sewer line at ______________, in Clinton, Indiana.

   Such sewer tap and/or building sewer line must be made in accordance with the application and plans submitted to the Utilities Superintendent, or his or her designee, and the connection must be made in accordance with City Ordinance # ______________. Each sewer tap and/or building sewer line, in its entirety, shall remain uncovered and exposed for inspection by the Utilities Superintendent, or his or her designee.

   By the application herein in the acceptance of the sewer tap permit, the applicant hereby agrees to reimburse and save the city harmless from any and all claims for personal injury and property damage by others resulting from the applicant’s activity herein. The applicant further covenants and agrees to restore any public street, sidewalks, curbs or other public right-of-way including water and sewer mains to their condition as existed prior to the applicants construction activity. Such applicant further agrees to place lights and barricades around any break in the street surface caused by his or her activity herein during the time of any such excavations and to restore such street surface to its original condition as outlined by ordinance.

   I, ______________, as the applicant have read the above terms of the sewer tap permit and the sewer tap regulations and agree to said terms.

______________                           ______________

(Applicant)                                 (Date)

   Inspections shall be made by the Utilities Superintendent, or his or her designee as required by ordinance. Bonds will not be released until the second inspection is complete. All work shall remain open and exposed, in its entirety, until the Utilities Superintendent or his or her designee has made the required inspection.

______________                           ______________

(Inspection 1)                              (Date)

______________                           ______________

(Inspection 2)                              (Date)
 
(Ord. 2002-0303, passed 3-11-2002)