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WASHINGTON 33 W. WASHINGTON STREET P.O. BOX 571 COUNTY SANITARY DISTRICT HAGERSTOWN, MARYLAND 217410571 (301) 791-3083 1 3084 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Permission is hereby given to: H1 i rk'_u u KtUanZ- For Property Located at: 1205 Maugans Avenue � �I P Y PERMIT NO. DATE SUBDISTRICT No- 1.5 augans y ; ,/ u:..i,ard Hi 1 Is Owned by: Alfred J Rebans Address: 1205 Maugans Avenue, Hagerstown, MD Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size ) Units To Main Line: Other __ Industrial Connection Fee ` 62j) 00 Date Paid 7/ 1 18S 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. Water Account No. 0-15-8730-7 ea a9� 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 Insp for 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: Permitt Plumbing Board Date Field __ Office City of Hag. 1 WASHINGTON COUNTY SAH ►RY DISTRICT WASHINGTON COUNTY, MO. Project: Maugansy Street (or location): SANITARY SEWER LATE CONSTRUCTION REC(►i' Contractor: Liabon Contractors Inc. a C,— MH TO MH �S ✓ Oats Installed+ I¢ Wye Ste. On MsinEt45:-/-,.- SYS VcP TES NOTES: G " 5D>2 Z t; I T /©. P St1d. nip nn TH �l X orz.• Total z 4, (, l ;= ops ♦ orz• x ZZ Depth of Cleanout /0-9, •Flow Line Cleanout ZZ ` rom `►-la's"- Layed • Z YL. - 5 Basement Service &445 MHS ego Amountoo,,gartsining to work completed this period, t{d an�ap roved, BY V-0- t'a� Inspector Contractors Rep. Washing a County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 Contract No. SD15- 3-S Property Address: 1,Fn Maugans Avenue MH 580 to MH 581 DWG. #601-313 Place an 'X' in owner wants the property. Place the sketch below to indicate where the property service connection (lateral) to enter the a wooden stake in the ground at that location. MH SD15-580 r� 563 (1205) Q SAN DMH / SDIS -58' -8 It 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 or near the property line. Date: caner Owner !� Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 //h► Alftk Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S Property Address: 1205 Maugans Avenue H1H 580 to MH 581 DWG. x#601-313 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. MH SD15-580 Q r1 563 (1205) Q SANDM N SDIS-581 8_Sq 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 or near the property line. Date: 9- 83 X�a �//j Z,4el, 14-- Ow-ner Owner Attest: Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT 33 West ngton Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: /j �. R- E - B D M,. W�SI;INGZC;d COUS-i'`t S�CNTAicY COM�15S1CN Ad Si CL Da "Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 21 IL+ Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S r Gentlemen: We hereby request permission to install the house lateral of greater than two (2) percent and/or in accordance with the above conditions at no change in contract price at the following location: 7o L A i E 2 A c_ F Y i Requested by Lisbon Contractors, nc. Approved by W. C. S. D. Inspector � (��,•,r,^ Date 7- /1- 8 _