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TON WASHINGTON COUNTY d�o�a1 q�
� G I
WATER &SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit Rr __ �,!, Permit No. _4;i`P 150-1390
Subdistrict Name ,N --_;_OH Issue Date 08/14/98
Mainline Contract No. 5? i Void Date 08114!99
Building Permit No. _ g.T9 8 -1 a 12 Subdistrict No. 1 50
Permission is hereby given to:
Property Owner:
of address: LET ^'
For property located at: - a CHan I S TT" r Ac's Street Address
1
Lot No. Subdiv. MAJIGANS MRAnQW Phase Sec.
Owner's Agent: AMERICAN HOMES INC
Agent's Address: 323p g TunNv T N WT (T,^nTT CTTY MD 21o42
Previous Owner:
Fees Paid in Full? ;tFS
Lateral with Mainline?
YES
Date Fees Paid 08/
1 31/98
Residential EDU's
1
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
$2,050 Gal/Day Allocation
?00
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
a1,000 Misc. Number
Total Fee $
S3 050
Remarks
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
Signed:
Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: Plumbing Inspector:
R E C D
OCT 1 y i9ga.
WASHINGTON COUNTY
WATER & SEWSR DEPT.
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MD. 4OW
SANIIARY SEWER LATERAL
,10k CONSTV ' IrTION REPORT
Project: /1"kC,,4�vs MCijpews
/3 41e
Street (or location):
C11,4fls T,CxeC14CF DoT �1G
,
Contractor: 5,49iI;75
MH
TO MH s ais'-iii
Date Installed
Wye Sta. On Main
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LAYING LENGT ,
5090-35
Gf'�
Ca)r
�� yF frr„�
Horiz. s %tal
Q
STV
1-. JIF
1 3 L �
Slope + Hdriz. = Totdi
NOTES:
DROP
Depth of Cleanout at Flow Line
Cleanout 0� _ From
Layed at o -;1 a/a
Basement Service
v
MH# 5;V1 5'-1116
M H f#
Amounts pertaining to work completed this period. reviewed and approved.
BY a'� � w e7yt
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
I
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984