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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WA$44TNGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE 7/30/85 P.O. BOX 571 SUBDISTRICT ND' i o PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Maug,ansvi l ie/Orchard hi 1 S Permission is hereby given to: Jacque D_ (iood•novi For Property Located at: 1147 Maugans Avenue I8M Owned by: Jacque D. Goodnow. Address: 1107 lsla3 jgang AyFnij Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size i', Connection Fee To Main Line:_ Units Other Industrial 620,00 Date Paid To connect to a public seweragelu49tar 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. C)dater Account No. ©-15-8960-1 Secretary-Treasur 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 An Plumbing Ins ctor 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 Office Date WASHINGTON COUNTY SANITARY DISTRICT WASHINGTON COUNTY, MD. Projects Mauoaneville/Orchard Hills SanitarX_Seu__ Street (or location): ��� MAvwINs Av5�vvt G41 � `x� � SANITARY SEWCn LATE'. CONSTRUCTION KC(m%r., Contractors Lisbon Contractors. Inc. MH TO MH S� Date Installed 9 - 5- S4 Wye Sts. On Min o+9�5 L_ 6'�x�"x 8" I�c"SOR ZOO RYL� NOTES: 2'Siu b rvC'QP 7.35vi= stud. Drop —11.00 6 "SDR to ovL Y Depth of Cleanout 7. 35 ' •Flow Line Cleanout bMMMMMMP�row �M�—' Laced AJ TER O201=) N/A Basement Service +►Hors.• To t 4.4-74 13.00 2h130 1-f Z7,(a7 MAIM 22 StA • Ot%5LT r r Amounts pertaining to work completed this periodp reviewed and approved* BY inspector --"Con rao acro i Rep, Washington Councy Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 % 9,(tc� Contract No. SD15- 3-9 Property Address: 1X Maugans Avenue MH 565 to ISH 566 DWG. #601-308 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. co Cb �� i / (1107) i N SDiz`56 0 )(0 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 r Date: /� � -3 NL i k . �— Owner n Owner Attest: Q Wash. Co. Sanitary istrict (Form WCSC-1) Replaces Form WCSC-56