HomeMy WebLinkAboutLat_18631JarkeyDriveWASHINGTON COUNTY SANT Y DISTRICT
WASHINGTON COUNTYt MO.
SANITARY SEWER LATE
CONSTRUCTION REC(11tI
Project: Mauaansville/Orchard Hills Sanitary Sewerage Collection Sveteo._
Street (or location): / u '-(-�z % r2 N7iAig[ L
Contractor: Lisbon Contractors, Inc. '
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Oats Installed 6-277-85 Wye Ste. On Main
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IYPE Elm,
TYPE
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LAYING
LE MGT 11
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NOTES:
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Depth of Cleanout �GFlow Line w
Cleanout Z �.b " � Oi� 3 `—
Layod 0 3
/V o 0asoment Service
Amounts pertaining to work completed
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this period, reviewed and approved.
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Contractors Rep.
.AGTON COUNTY SANITARY DISTRICT PERMIT NO. _
ISHINGTON STREET HAGERSTOWN,MARYLAND21741-0571
SOX 571 (301) 791-3083/3084
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT '
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Permission is hereby given to: Cl-` ! , W-1 U i i" 1 n S tIC tiiiA_
For Property Located at: s ,v;;, L7,jd(jerSto I- �:�
7 C
Owned by: — Address: 'Rt . 8 d0227t� 7 t
f73 gei'S
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential (_) Units Other
Commercial Industrial
Meter Size Connection Fee
.—.— 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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
/1", X;21 1eq -v'
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY:
Date
Plumbing Inspe or. //& Z�—
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Office
Date