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WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 V/q$ $
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(301) 791-3083 rro-L
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. 3CP 150-1361
Subdistrict Name MALTMAN S/OH Issue Date 08/28/97
Mainline Contract No. 619 Void Date 08/28/98
Building Permit No. PRJ97-1920 Subdistrict No. 150
Permission is hereby given to:
Property Owner: BREWER HEIGHTS
of address: 13 815 MAUGANSV I LLE ROAD
MAUGANSVILLE MD 21767
For property located at: 18041 EDITH AVENUE Street Address
Lot No. Subdiv. BREWER HEIGHTS Phase Sec.
Owner's Agent: BREWER HEIGHTS
Agent's Address: i 3 815 MAUGANSV I LLE RDS MAUGANSV i LLE 2`1767
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline?
Date Fees Paid 08/27/ Residential EDU's _
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ $2,0 Gal/Day Allocation 2
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ $1,000 Misc. Number
YEu
1
Total Fee $ $3,050
Remarks
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.
RECEIAVE
Signed: 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
H
agerstown, MD 21740-4727
Phone: (301) 791-3070
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Inspection Date: ,QO Plumbing Inspector:
WASHINGTON COUNTY
WATER & SEWER DEPT.
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERAI
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: � - g Z� SLID -t/_1 Ct
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Street (or location): [--b -174
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Contractor: Laa '� V—
M H i,? EC TO MM
Date Installed `1-Z`7-�� Wye Sta. On Main
_ Lb -r-5 Tt
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C o. Co. LATERAL LENGTH LAYING LENGTH
Horiz. ' Total
sT D.
6"PAS c«, 50 ` y�
Slope + Horl Total
NOTE!
Depth of Cleanout 2 at Flow Line
Cleanout L/2' From Face o4: HrrwHo`� Izc�
La)ed of M6
KJ IA Basement Service
MH * loge
.O.
WYE
W 4s 1>
MAW OtA-1;
MHI# I-Z.Ecn.
Amounts pertaining to work completed this period. reviewed an 1// prove � `I
By
SD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT 114�,
AUGUST 13, 1984 $' Z