HomeMy WebLinkAboutLat_18770DillerDriveWASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
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Type of Permit RES SEWER Permit No. SCP n
Subdistrict Name MAUGAN S / OH Issue Date 09/20/00
Mainline Contract No. Void Date 09/20/01
Building Permit No. P2000-1852 Subdistrict No. 010
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN
MD 21740
For property located at: 18770 D I L L ER DRIVE
Lot No. 41 Subdiv. FOUNTA I NV I EW
Street Address
Phase 1 Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE HAGESTOWN MD 21740
Previous Owner:
Fees Paid in Full?
Date Fees Paid
YES Lateral with Mainline?
Residential EDU's
Fee $ Commercial EDU's _
WCWSD Alloc./Conn. Fee $ S2,300 Gal/Day Allocation_
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ S1,200 Misc. Number
Total Fee $ S3,500
Remarks
YES
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. ,
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Si ed: ..��;^��c N. �� ,{ 111�T� 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
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Phone: (301) 791-3070
Inspection Date: —"/—G Plumbing Inspector:
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PROJECT NAME: e
JECT NO: 616.,
PROPERTYADDRESS:
DRAWING NO, i 2 CA 2
MAIN LOCATION: STREET ASEMEN
DATE INSTA
PROPERTY OWNER NAME:
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PROPERTY OWNER ADDRESS:
MAIN STATION:
CONTRACTOR: t rn Jtr�,�a`{f
CONNECTION 0 MH:
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CROSSINGS AND UIMENS ON ALL PERTINENT ITEMS
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MH # 15-o- I�6.3
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIWJSION OF PUBLIC WORKS
WASHINGTON COUNTr, JMfARIYTANO
DOUBLE GRAVITY SEWER LATERAL
WATER AND SEWER
CONNECTION SHEET
DEPARTMENT
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MAY 2001 S. -13.2A