HomeMy WebLinkAboutNoLat_13612CraytonBlvdWASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 V` 11/9/q3
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(301) 791-3083 I,� �� f
Permit to Connect to Public Water/Sewer System
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner: _ --1
of address: I T, f;.R Y-; E
C
For property located at: _
Lot No.
Subdiv.
Permit No.P 1`8-1388
Issue Date 8 8
Void Date 08,
Subdistrict No
�AIIITON SOUL.
Owner's Agent: F FLE HOUSE
Agent's Address: `.'E j OR `RtJ_S = :
Previous Owner:
rees raio In rune
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Remarks
Fee $
Fee $
Fee $
Fee $
Total Fee $
1_50
Street Address
Phase Sec.
Lateral with Mainline?
Residential EDU's
Commercial EDU's _
Gal/Day Allocation _
Building Number _
Misc. Number
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:
J
Date:
101,
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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 217404727
Phone: (301)791-3070
Inspection Date: ��(j -�
�• �� Plumbing Inspector: .