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WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT NO. DATE SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: For Property Located at: Owned by Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Address: Connection Fee To Main Line: Units Other Industrial 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. Secretary -Treasurer Building Permit No. 7 3V7 -()3,)a INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: Pw'u Date Plumbing In pect /r 1�2_ - _7 - V 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 Offi Date WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM ' qj I c, Permission is hereby given to: For Property Located at: Owned by Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Address: Connection Fee To Main Line: ) Units Other Industrial Date Paid PERMIT NO. .i DATE SUBDISTRICT ° To connect to a public seweragelwater 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. 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 C?19� Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: w �� ����-L�"`-1 Date Plumbing Inspector 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 Board Field Offi Date WASHINGTON COUNTY SANITARY D'gTRICT WASHINGTON COUNTY, MO. :I Fl IV l I n n I .J L_ UJ •INSTRUCTION RECOkl' Project: Maugansville/Orchard Hills Sanitary Sewerage Collection_ System Installed---6Wye Street (or location): - On Main 145=H./a IZ — TYPE PIPE Contractor: Lisbon Contractors, Inc Drop NOTES: _ �•F• fA .nol.toi4. '57-Ur'.5 liC.4 r---" Ninq :G ope+ Harz - Depth of Cleanout r7d9?V._)„®Flow Line Cleanout F romp H.N. Jo/4Y t4Aiw Layed ® 2 % )/O Basement Service Amounts per 22� MH# /0/:3 ng to Work completed this period, review d and approved. Inspe for _'� Contractors Rep. fAl �l.t � uv E NIA R 5�-1 t�//� E � MH [L,' (r--- urcr_A ) MH to -/5 TO MH YO f¢ Date Installed---6Wye Ste. On Main 145=H./a IZ — TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL S t' d . EX AU. LENGTH � 2 Z_ � , AYI NG LENGTH *Hort . = Total �1f SOL . r_. Y IZE C)tifC prlilec�i6r, �O H. 1/. - - - Drop NOTES: _ �•F• fA .nol.toi4. '57-Ur'.5 liC.4 r---" Ninq :G ope+ Harz - Depth of Cleanout r7d9?V._)„®Flow Line Cleanout F romp H.N. Jo/4Y t4Aiw Layed ® 2 % )/O Basement Service Amounts per 22� MH# /0/:3 ng to Work completed this period, review d and approved. Inspe for _'� Contractors Rep. fAl �l.t � uv E NIA R 5�-1 t�//� E � MH [L,' (r--- urcr_A ) bgJE CQPY To or-'c24E A'P r9d a G c10 o c._ 16 - $ 3 pclT ©F Ad. 10 lel Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S Property Address: Paramount Elementary School MH 1 014 Terminal __ nmr #601-364 Place an 'X' in the sketch below to indicate where the property owner wants the service connection (lateral) to enter the property. Place a wooden stake in the ground at that location. The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property line so as to facilitate, and make less. expensive, the owner's connection to the lateral and to prevent dAmage to the cleanout which will be installed by the District 'at r ea -r` the property line. Date: Me's -- — - Owner Owner At t('7'It :I., Wa Co. Sanitary District (Form WCSC- f Replaces Form WCSC-56