Form Wmo 9-8-15 - Request For Final Inspection (Rfi)
Download a blank fillable Form Wmo 9-8-15 - Request For Final Inspection (Rfi) in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Wmo 9-8-15 - Request For Final Inspection (Rfi) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2REQUEST FOR FINAL INSPECTION
METROPOLITAN WATER RECLAMATION DISTRICT OF GREATER CHICAGO
LOCAL SEWER SYSTEMS SECTION
6001 PERSHING ROAD
CICERO, IL 60804
Type or print this Request for Final Inspection (RFI) and submit in duplicate to the Local Sewer Systems Field Office at the above
address. If there are any questions, please call the Field Supervisor at (708) 588-4055 or the Authorized Municipality.
PERMIT NO.: _________________ NAME OF PROJECT: ____________________________________________________________
LOCATION: ___________________________________________________________________________________________________
MUNICIPALITY: ______________________________________________________________________________________________
Request is hereby made to the Metropolitan Water Reclamation District of Greater Chicago (District) or the Authorized Municipality to
approve the project described above. This request is for the (complete / partial) project. If partial, describe on reverse side of form.
Attach additional sheets as necessary. The following information is submitted in support of the request:
***************************
CERTIFICATE BY INSPECTION (P.E.) ENGINEER
NAME /COMPANY: __________________________________ TELEPHONE NO. _________________________________________
ADDRESS: __________________________________________ CITY / ZIP: ______________________________________________
I hereby certify that I have inspected the work covered by this permit during the progress and upon completion of construction, that I have
approved the material and workmanship, that I have not allowed any defective materials or poor workmanship on the project. I further
certify that the completed Watershed Management Ordinance (WMO) permit work meets with my approval and that it is in substantial
conformance with the plans and specifications, and I hereby recommend the acceptance of this project.
BY: ________________________________________________________________________ DATE: __________________________
(Print name and title of engineering representative)
BY: __________________________________________________________________________
P.E.
(Signature of engineering representative)
SEAL
***************************
CERTIFICATE BY MUNICIPAL OR SYSTEM (P.E.) ENGINEER
NAME /COMPANY: __________________________________ TELEPHONE NO. _________________________________________
ADDRESS: __________________________________________ CITY / ZIP: ______________________________________________
I hereby certify that the work completed under this WMO permit has been inspected and meets with my approval and satisfaction and is
in accordance with applicable requirements, and I hereby recommend the acceptance of this project.
BY: ________________________________________________________________________ DATE: _________________________
(Print name and title of engineering representative)
BY: ________________________________________________________________________
P.E.
(Signature of engineering representative)
SEAL
***************************
CERTIFICATE BY PERMITTEE
I hereby certify that this project has been completed and approved; and that to the best of my knowledge and belief, there has been no
violation of any terms and conditions of this WMO permit nor any local laws, rules, regulations and ordinances applicable to the permit. I
hereby recommend acceptance of this permit.
BY: _________________________________________________________________________ DATE: __________________________
(Print name and title of authorized official)
BY: ________________________________________________________ TELEPHONE NO. __________________________________
(Signature of authorized official)
WMO 9-8-15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Completing Form C-9 - Physician's Request For Medical Service Or Recommendation For Additional Conditions For Industrial Injury Or Occupational Disease
Legal
Substitute Form W-9 - Payer's Request For Taxpayer Identification Number (tin) - Kinross Gold Corporation
Financial
Form Nyc - 9.8 - Claim For Lower Manhattan Relocation Employment Assistance Program (lmreap) Credit Applied To General Corporation Tax And Banking Corporation Tax - 2006
Financial
Related Categories
Parent category: Legal