HomeMy WebLinkAboutLat_17910DaisyDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE Noy, 21,
P.O. BOX 571
SUBDISTRICT 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM_ , ;V- 12ei G
Permission is hereby given to: R C. '3 L! 5, 1c !C' ,rE icy & RenPe--Ior^t)
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For Property Located at: IS Dai 5v Dr, � r rr ren Plpni- T ni ? ;;ec' F
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Owned by: Builders, Inc, -Address: Pt 6 BOX 35Z, xTa_erstcwn, r;sD 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
XX
To Main Line:
Units Other
Industrial
Connection Fee �lxq;_0•00 Date Paid
To connect to a public sewerage/water 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.
This permit does not supersede any local ordinance that is in effect with regards to 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.
Secretary -Treasurer %
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
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: Permi
Plumbing Boa
Field Off
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
13
Z
WASHINGTON COUNTY SAUITP.. Y DISTRICT
WASHINGTON COUNTY, MD.
Project: �a�z�r✓uSPc� SQT►o�u r
get (or l ocation) : C.41 sY t7a4vE-
Contractor: (f. z-• L3y2...i
Date Installed q1. MA -f lgyE3
SANITARY SEWER LATER
CONSTRUCTION REPORT
MH q33 TO MH q 35
Wye Sta. On Main !+-1 1 1z -
/YE
SIZE -
TYPE PIPE
TYPE
C.O.
DEPTH
CO.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
Co" Pi/C-
(o" Pvr
ccvxP,Horiz.
Sarz-Z(�,
SCH 0
4
Z -S
STPD.
3Q.cp,�
= Total
3co.Co �
TOTES:
pgep
j -
Slope t Ho ' . - Total
r
wool;)
STAK,tE
epth of Cleanout Z . S
at Flow Line
leanout From MA,AJ
dyed at r. anc)
^irQ Basement Service
=. 14-11 a..
MH *
q33
MH t1
gas'
is pertaining to work completed this period, reviewed and approved.
I
y— \ • u ti E -T Tz--O ►J
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
>SHINGTON COUNTY SANITARY DISTRICT
jGuST 13, 1964 DIV.II 210-29 S-29