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WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
P.O. BOX 571
PERMIT NO. 240
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
DATE Sept- 110 1U84
PERMIT TO CONNECT TO PUBLIC SEWERAGEJW6M SYSTEM SUBDISTRICT ND 9 5
M&Ugansville/Orchard
Permission is hereby given to: Kenneth L. Everhart Jr. Hills
For Property Located at: 209 OoUntryt i de Drive— /j 70 (--P
Owned by: Kenneth L. Everhart Address
Type of Connection: To Service Connection X
Type of Service: Residential
Commercial
To Main Line:
) Units Other
Industrial
Meter Size Connection Fee $620 no Date Paid
To connect to a public sewerage/WiMer system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions- of the
Laws of the State of Maryland and Washington County Sanitary District Specifications. 1
This permit does not supersede any local ordinance that is in effect with regards Ito road cutting, etc
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No.
PC
Secretary -Treasurer ,
r29-�o si
INSPECTION: At least 48 hours notice prior to requested date of inspection is required
ON SITE INSPECTION will be made by
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: �(�� �� . L C1 -LA -&-J Date
Plumbing Inspector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Final Inspection Made By:
DISTRIBUTION: Permit
Fiel
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Plumbing Board 4
Office
Date
2ASHINCTON COUNTY SANIT^' DISTgiCT ivPtUft -SANITARY S 'uED ,T ,,,
UASHiNGTON COUNTY, P'10, CONSTRUCTION ZECG:;C
project: Maucan;syille%Orcherd Hills 5015-1-5
139oC�
Street (or location) : Z--eoj Cou.vT,�v S�pE D2�yU7
Contractor: Canes Contractors Inc..,
TO PSH Z/Z v
Date Installed G - /y- 83 WYE Sta. 0:1 Plain O i 33-,e
WTD 51ZE— TYPE DEPTH TYPL EXCAV.
S'J7E TYPE PIPE C.O. L,'�YIiiC:
C . 0. LATERAL L LENGTH LEPIC T 1,
- - f
vc it'd. �'Horz.= Total
Sy,� e
So¢ 35 Slee Z b 1 Zy.yo ZZ ya
Or
'dope+ Horz=
NOTES:
/
Q 12oua n _
C Ccq.J w S Z' nt
- - - - -O'Ir 13ujeieD PE cg8cE
O
Depth of Cleanout y (o $ f lows Nine��.�..._.__ ...�
Cleanout .2o . qo From J m g ,.i-------------�---
Layed 0a Z
No Basement Service
D-0
3 3
MHZ; ?�l o
mH;;= Z / Z
Amount's pertaining to work completed thlis period, reviewed and approved.
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