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,#ASHINGTON COUNTY SANITARY DISTRICT
33,W. WAStflNGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084
P.O. BOX 571
SUBDISTRICT " • '3
Mauaa,nsvil�le/Orchard Hills
PERMIT TO CONNECT TO PUBLIC SEWERAGEIVjMAITU SYSTEM
Permission is hereby given to:
Jaiiies E.. Pendergast
PERMIT NO. j""
DATE 10/23/66
For Property Located at:
1104 Maug_ans Avenue, Hagerstown, Maryland 21740
Owned by: JalileS �=• Pendergast Address: %Ron C. Crunkleton, Rt.6, Box 2135, Hagerstown
Maryland,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
1) Units Other
Industrial
$620.UO Date Paid 10/23/85
To connect to a public seweragel!vat n 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.
Mater No. Unavailable
Secretary-Treasur r
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 Ins or
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:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field 3 Office 1 C . CV `' - -
:
WASHINGTON COUNTY SANITARY STRICT SANITARY SEWER LATCH'
CONSTRUCTION t�ECfiT
WASHINGTON COUNTY, M0.
Project: Mauoinsvi
Street (or loostion):
Contractors Lisbon
)a
MH 2 T O RN f 3 1O,
Date Installed io l� ¢_.w, Wye Sts. On Main ►t®'7.5 e4.
Depth of Cl anout �•c
Clesnout 1-5 row ,4—:,mAisi`
Laced Z x AFTER DepT-
[=S Basement Service
Of low Line
e1`6er,
MM# 3
C. 0.
2 u67Z-.p"
Amount• rte nin to work completed this period, reviewed and_appr�d*
BY
Inspector Cbntractors ep.
FUr3L1(- WATC%12 Oak
AoOic !o L1F�STi►.1(c
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
(7 Contract No. SD15- 3-S.
Property Address: M augans Avenue
MH 612 to MH 613 DWG. # 601-301
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 or near the property
line.
Date:-712G1$,�> ACES A��7rr wsr
�wne�j
Attest:
� -
Wash. Co. Sanit District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
A.t�j (-- /-?,
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, M
To: Lisbon Contractors, Inc.
RECEIVED
WASHINGTON COUNTY
SANITA tY CO�1�1i'IflSSION
INSPECTOR !tib E
I hereby request the contractor to install the lateral in
accordance With the following conditions:
Washington County Sanitary
33 West Washington Street
Hagerstown, Maryland 21740
Gentlemen:
Address -1104- r
Signed
Property Owner
Date
District ��c�m�s I�• �e►��d�1'���
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3—S
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:
Requested by Lisbon Contractors, Inc
Approved by W.C.S.D. Inspector
Date V