Fillable owner or agent for a SANITARY SEWER CONNECTION (City of Spring Hill)

Fill Online, Printable, Fillable, Blank owner or agent for a SANITARY SEWER CONNECTION (City of Spring Hill) Form

Use Fill to complete blank online CITY OF SPRING HILL (KS) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

owner or agent for a SANITARY SEWER CONNECTION (City of Spring Hill)

On average this form takes 5 minutes to complete

The owner or agent for a SANITARY SEWER CONNECTION (City of Spring Hill) form is 1 page long and contains:

  • 1 signature
  • 2 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Spring Hill

BROWSE CITY OF SPRING HILL (KS) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Y:\City Hall\Community Development\FORMS\PERMIT APPS & HANDOUTS\NSF HOME - Building Permit Package\2020 Building Requirement Revision\Sewer
Permit Application.doc Revised 12.13.19
Master Building Permit No.:
Sewer: Deferred or Non-Deferred (circle one)
Application is hereby made to the CITY OF SPRING HILL, KANSAS by the undersigned
owner or agent for a SANITARY SEWER CONNECTION PERMIT.
Applicant agrees to install or have installed, by a licensed plumber, the sanitary sewer
connection. The applicant agrees to conform at all times to all plans and specifications
prepared by and/or approved by the City Inspector of the City of Spring Hill, Kansas and to
comply with the City ordinance governing sanitary sewer connections. When the work is
ready for final inspection, the City Inspector, or his duly authorized agent, will immediately
be notified. The owner or agent agrees to pay a fee of $ at the time this
application is granted which will include one inspection for final approval.
Name of Owner Address Phone No.
Name of Contractor Address Phone No.
Legal Description:
Property Address:
Subdivision Phase/Plat:
Lot No. Block No. Type of Construction: Commercial Residential
Signature:
Applicant/Owner/Agent Date
Printed Name:
Applicant/Owner/Agent
Sanitary Sewer Permit Application
Community Development/Planning Dept.
401 N. Madison St., Spring Hill, KS 66083
(913) 592-3657 ● (913) 592-5040 FAX
planning@springhillks.gov ● www.springhillks.gov
OFFICE USE ONLY
The above applicant is hereby granted permission to proceed with construction of said sanitary sewer and connection
as stated in said application subject to approval by the City Inspector or his duly authorized agent.
Authorized by: Date:
Backwater valve: Basement only Whole house First and Second floor
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

owner or agent for a SANITARY SEWER CONNECTION (City of Spring Hill)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document