HomeMy WebLinkAboutLat_13505EssexDrive°,°" ° WASHINGTON COUNTY
_ WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Y L ANS Williamsport, MD 21795
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(301) 791-3083 V /
Permit to Connect to Public Water/Sewer System
Type of Permit R F 1; AF.wF F Permit No. " 'Q- 1 71
Subdistrict Name MAt?„AN jC)H Issue Date 21, 9; >
Mainline Contract No. F s3 Void Date ;
Building Permit No. 17 _ ? 0 �-i 7 Subdistrict No.
Permission is hereby given to:
Property Owner: MA T n eTONF ; ty
of address: , q -7 t O Rt V z r r.AC
For property located at:
Lot No.
o
Subdiv. "TH �� i i�C;F Phase
_Street Address
Sec.
Owner's Agent:
Agent's Address.
4, 10 NORTH V i L LAQR
, HAGER tit i
Previous Owner:
Fees Paid in Full?
YL
Lateral with Mainline?
Date Fees Paid
1 i 9
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Fee $
Fee $
Fee $
�:,6 , 050 Gal/Day Allocation
Building Number
000 Misc. Number
Remarks
Total Fee $
3 , 050
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: Date:
� r
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
Phone: (301) 791-3070 f
Inspection Date: j•?.? - 9z Plumbing Inspector:
r
C��
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, M0�
/ Ask
Project:
Street (or location): �SS��C •�iei�l�
Contractor:
Date Installed '�7-i-,z-9-3
WYE
3 y- q Y -b
SIZE- I TYPE I DEPTH
TYPE PIPE 1-0. GO
C1G c! L
NOTES:
4
Depth of Cleanout at Flow Line
Cleanout /o From
Layed at
Basement Service
MH*
1a12S
SANITARY SEWER LATE=
CONSTRUCTION REPORT
M H 1.2-25 TO MH 1Q 2 2 9
Wye Sta. On Main /f 29 ,er
TYPE I EXCAVATION
LATERAL I LENGTH
ST 0.
DROP
LAYING LENG7>
Horiz. = Total
Slope + Ho = To
M H #i
/a;;29
0,c--eC.o.
Amounts pertaining to work completed this period, revie e a aporo d.
By
CSO INSPECTOR -:-NT;-AC RAS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1994
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