Fillable Application for Sewer Service (City of Alexander City)

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Application for Sewer Service (City of Alexander City)

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The Application for Sewer Service (City of Alexander City) form is 2 pages long and contains:

  • 4 signatures
  • 0 check-boxes
  • 15 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Alexander City

BROWSE CITY OF ALEXANDER CITY (AL) FORMS

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Application for Sewer Service
City of Alexander City
Email:
Applicant Contact Information:
Cell:
Home: Office:
Other:
SECTION I: Applicant/ Building Department
Name of Applicant: Date:
Street Address/ Location for Structure:
Hand-drawn site plan of proposed sewer: (please provide all pertinent information, including property lines, nearest existing
sewer, roads, right of way, other utilities, any needed easements, location of structure, etc.)
See attached Instructions or call any of the listed contacts with questions.
(Applicant’s Signature) (Date)
(Building Official’s Signature) (Date)
**By signing this application, the applicant is in full consent of contacting the Alexander City Utility Department by calling (256) 329-6707 in regards to addi-
tional utility deposits required for utility services**
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Application for Sewer Service
City of Alexander City
SECTION II: Sewer Maintenance Department
Date Received:
Evaluation
Based on estimated finish floor elevation provided by the applicant, will gravity sewer meet mini-
mum slope requirements of the City policy?
Based on estimated finish floor elevation provided by the applicant, will the City require a pressure–
relief apparatus and the associated liability release form?
Will any pumps or other special equipment be required?
Are any private easements required?
YES NO
YES
YES
YES
NO
NO
NO
SECTION III: City Engineering Department
Date Received:
Based on review of the information provided on this application of the Applicant and the Sewer Maintenance
Department, the sewer tap is:
APPROVED
APPROVED WITH SPECIAL PROVISIONS
(Listed Below)
DENIED
Provisions/ Comments:
(Sewer Maintenance Superintendent’s Signature) (Date)
(City Engineer’s Signature) (Date)
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Application for Sewer Service (City of Alexander City)

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Completed 25 August 2020

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