HomeMy WebLinkAboutNoLat_13312MarshPikebl
T0N WASHINGTON COUNTY ✓ ~
/ q /a�
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
�7Ry�ANv (301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit ,RES SEWER Permit No. SCP 150--1378
Subdistrict Name t -s UGANS/OH Issue Date 4/'98
Mainline Contract No. Void Date 0 5 i 0 4 T717 -
Building
Building Permit No. PR J 98 - 0 6 9'7 Subdistrict No. 1 -
Permission is hereby given to:
Property Owner: _'ANDRA GROSSNICKLE
of address: 19556 LE I TERSEURG PIKE
tAC.ERsmn(���d .MIL 21742
For property located at: "J3 1
Lot No. Su� . —
b
Street Address
Phase Sec.
Owner's Agent: E BY & ,
Agent's Address: 13187 SAi.EM CHURCH RD HAGERSTOWN ML Zi740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline?
Date Fees Paid` 5 - - Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ ' Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ `-"j Misc. Number
Total Fee $ .1_, '
Remarks OWNER t;Y c .:TAC A
HOURS. IN AD1�'r?N'E '��_ _. . C sv -�
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.
Sig
Date:l
INSPECTION: At least 48 hours notice prior to requested date is required. JUN-
"
ON SITE INSPECTION will be made by: Washington County Plumbing Board 19y�
100 W. Washington Street, Room 304 WASHINGTON COUNTY
Hagerstown, MD 21740-4727 W SEWER DEPT.
Phone: (301) 791-3070
Inspection Date: � Plumbing Inspector: