HomeMy WebLinkAboutLat_13511ChadsTerraceSaCT0N Co
h G
3 � �
_ 4
A
'o
7RYLAN
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner:
of address:
For property located at:
Lot No.
Owner's Agent:
Agent's Address:
Previous Owner:
Fees Paid in Full?
WASHINGTON COUNTY V
0-nLLlr
WATER & SEWER DEPARTMENT q/ q?
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Subdiv.
Permit No.
Issue Date '}a
Void Date
Subdistrict No
Street Address
Phase Sec.
Date Fees Paid
Lateral with Mainline?
Residential EDU's
WCWSD Alloc./Conn.
Fee $
Fee $
_
Commercial EDU's —
WCWSD/OtherGal/Day
Fee $
Allocation _
City of Hagerstown
Fee $
Building Number—
Total Fee $
Misc. Number
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 spercede
STATE AND LOCAL, MUST BEnOBTAINED BY THE is
OWNER AND ALL RESPONSIBILITYeCONNECTEDOTHEREWITH
ITS,
MAINS WITH THE PROPERTY OWNER.RE-
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:
ED
SEP 1 1 1998
WASHINGTON COUNTY
WATER & SEINER DEPT
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERA
WASHINGTON COUNTY, MC ... '"" CONSTRUCTION REPORT
Project: SDis-,Si/ Al a. cc
Street (or location): C'S'
Contractor:
MHSC21s-ii z, TO MH Saes -//it
Date Installed 9' - g LII Wye Sta. On Main of gs c r
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C. 0.
Co.
LATERAL
LENGTH
LAYING LENGTH
�UC
461
Ca> -f
4vf
SO2 -35
svie -� 6
r,Coh
- �
'D.
Horiz. ' Total
$
ST
NOTES:
Depth of Cleanout at Flow Line
Cleanout /4 L."-� From
Layed at 2 .-7- °/o
&/ 0, Basement Service
M H # sa lr-I /z 1 04- K L�
Slope t Horiz. = Tota
M H !# S m.r „-Z z
Amounts pertaining
to work completed this period, reviewed and approved.
BY U " , GJjo'�
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984