HomeMy WebLinkAboutLat_18924DillerDriveC110 IV C100 WASHINGTON COUNTY
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WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 ✓f o f a 0=�
ARYL�N (301) 791-3083 m'
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 154-1733
Subdistrict Name MA0fjANr7 Issue Date -
Mainline Contract No. Void Date -
Building Permit No. - = Subdistrict No.
Permission is hereby given
Property Owner: r ,c: P IAN ' I EW LLE
of address:
For property. located at: -DRIVE Street Address
Lot No. Subdiv. v LL W Phase Sec.
Owner's Agent: CREATIVE HOME BUILDERS
Agent's Address: 170 VINGINIA MV 21-1/40=
Previous Owner:
Fees Paid in Full? YE`' Lateral with Mainline? y ES
Date Fees Paid ` w it Residential EDLI's
Fee $ Commercial EDLI's
WCWSD Alloc./Conn. Fee $ '' ` ' Gal/Day Allocation 2 U V
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $` " Misc. Number
Remar, :, r ER Fig�E�LWILt BE CHARGED1,.' t a� _ _ x
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 -
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 3
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: d L c� Plumbing Inspector:
- I -- v vJJ11VVJ milu UlmtNNUN ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM
MH # /off5
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLANO
WATER AND SEWER
DEPARTMENT
RIGHT
UPSTREAM
MH #
CONTRACTOR'S Rt=PRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 �S-13.2A
'I
I
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PROJECT NAME: OIJA /1A-%`�yir2✓
_ PROJECT NO:
PROPERTY ADDRESS: o-rS 5-•� 7 -5_6 DRAWING NO: _
MAIN LOCATION: STREE /EASEMENT r 1-E'• DATE INSTALLED:
PROPERTY OWNER NAME: MH 12iL� TO MH 1 4/
PROPERTY OWNER ADDRESS: MAIN STATION: U Y'60 RT
CONTRACTOR: __�E 77th'/��-•✓3 �:'✓c �/�✓
CONNECTION ® MH:
SIZE & TYPE
TEE
SIZE & TYPE
DOUBLE TEE,(S)
SIZE & TYPE
SERVICE PIPE
G 1 so,e _ Z(.
4�" sa,q- 2-(
INVERT
MAIN
�S�S, y�
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C/O
gEA.
A
B (LT)
C (LT)
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B (RTC
(RT
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- I -- v vJJ11VVJ milu UlmtNNUN ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM
MH # /off5
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLANO
WATER AND SEWER
DEPARTMENT
RIGHT
UPSTREAM
MH #
CONTRACTOR'S Rt=PRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 �S-13.2A