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DPW: Sewer Permits

2. 

3. Water Department
   City of Taylor 23555 Goddard Taylor, MI 48180

   City of Taylor 23555 Goddard Taylor, MI 48180

4. This form is print only
   Please complete this form by signing in the respective field. Once signed please deliver or mail to the Water Department at City Hall.

   Please complete this form by signing in the respective field. Once signed please deliver or mail to the Water Department at City Hall.

8. Permit to connect to sanitary sewer system

9. Sewer Permit Number

   To be completed by the City

10. Plumbing Permit Number

    To be completed by the City

14. Location Address

15. Date Applied
    Date Applied

17. Lot number

18. Subdivision

22. Owner's Contact Information

24. Name

25. Email Address

26. Phone Number

28. Address

30. City

31. State

32. Zip Code

36. Contractor's Information

38. Name

39. Email Address

40. Phone Number

42. Address

44. City

45. State

46. Zip Code

50. 1. New Residental
    2. Existing Residental
    3. Other

51. Qualifying Plumber's Signature
    ____________________________________________________________

    ____________________________________________________________

53. Wye Location
    ____________________________

    ____________________________

54. E. W. N S. of Manhole No.
    ____________________

    ____________________

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56. Submit Submit and Print

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