Gravity house connection drawing submission, Jan 1984

NYC 9/11 Public Portal Dor.,.----- -

HlCrtWAY TtkMlT NUMBER Ko. WPC-e B*v. C (l2-i in iilZnr]

THIS IS NOT AN APPLICATION 'TO OPEN THE STREET OR SIDEWALK. TH E CITY OF NEW TORK DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WATER POLLUTION CONTROL

BOROUGH OF

APPLICATION FOR PERMIT TO INSTALL SINGLE/MULTIPLE PREHISECS); SE>^R HOUSE CONNECTION(S) KPFLlCkTIOti IS HEREBY MADE FOR PERMISSION TO; CONNECT/ItHE FOLLOWING HOUSES TO THE EXISTING _______ PRIVATE __________ CITY SANITARY STORM ________ COMBINED SEWER(S) LOCATED IN (Check one of the above.) (Chee): one or more of the above.)

/ / CONSENT FROM OWNER(S) OF PRIVATE SEWER FURNISHED.

BETWEEN AND ____________________________________________________________

THE OWNER OR BUILDER OF THE BUILDING(S) IS 44 M., Osw '4 • ■ ADDRESS OF THE OWNER OR BUILDER IS

HOUSE NO. N.B. NO. LOT NO. CONNSIZE(S)iTYPE(S) LpciyT, PERMIT NO 44S54t?~ XCO w 2^0 11 V 4oo' u 60^ \\ 1 t 11 b ^doo' b I I' y-2 451- I OS O’ K* UaoL \ * j-ldLai’* -Z .mo' \ • ^Indicate side of street (N,S,E or distance fronf'the building intersecting street to the first building line of the structure tihere vork^ to be mni. “• IT IS UNDERSTOOD AND AGREED THAT THE WORK PROPOSED SHALL BE EXECUTED IN A GOOD AND WORKMAN-LIKE MANNER AND TO THE SATISFACTION OF THE COMMISSIONER. IN ACCORDANCE WITH THE PROVISIONS OF THE ADMINISTRATIVE CODE OF THE CITY OF HEM YORK AND ANY AMENDMENTS THERETO. AND ANY APPLICABLE RULES AND REGULATIONS.

NAME OF THE LICENSED PLUMBER (Print)

SIGNATURE OF THE LICENSED PLUMBER / ADDRESS OF THE LICENSED PLUMBER g. '7^. nV 4 PLUMBER'S LICENSE NUMBER

BUREAU OF (VATER POLLUTION CONTP.OL Ccmme.nf.i and^ Appfiovat Stamp PERMIT FEE DATE: 1. The sewer(-sj-yio which thejiouse connection(s) is/are made, is/are / / is/are not / 7 connected to a privat treatment .■ plant. This private treatment plant discharges / / does not discharge / / to the City sewer system. 2. Number of premises indicated Total number of connections indicated TO THE PLUMBER: ALL HOUSE CONNECTION DRAINS TO BE GRAVITY LINES ONLY.

/ 1^1 r// i^'o CITY OF NEW YORK DEPT. OF ENVIR. f'ROT. » BUREAU OF SEVvERS C:AV.4TORS ANDOPEPAWRSARS •""BY NOTIFIED OF THEIR OELIGATIOhi Ihe permit .'5 PERMIT CONTROL SECTION APPROVED z I ’ COMPLY WITH THE PROVISIONS OF .. YJSTRJAL CODE-RULE NO, 53 BEFORE valid lor thirty BY-^^:^^«--^DATE ^3/^ (30) days__ , V ? EXCAVATION OR DEMOLITION ERATION IS COMMENCE^. NOTE -• APPROVAt VAI IP FOR mKTV 130} WS.

FILL IN PERMIT NUMBERS ABOVE. TOTAL FEE PAID 5 '

DATE: CLERK . _______________________ BUREkV OF tfUTER KECJSTEK_________ ___ KO FEKMIT(S) OF jOTY TTFE WILL BE ISSUED FROM THE BUREAU OF WATER REGISTER UNTIL ALL OPEN CHARGES HAVE BEEN PAID AND ALL KNOWN VIOLATIONS AGAINST THE PREMISES HAVE BEEN REMOVED TO THE SATISFACTION OF THE DEPARTMENT.

NYC-WTC_OO0165061