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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
V
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-1233
Subdistrict Name MAUGANSVILL/OH Issue Date 08/25/94
Mainline Contract No. 15-1-S Void Date 08/25/95
Building Permit No. 93-1130 Subdistrict No. 150 \ _
Permission is hereby given to:
Property Owner: DONALD LO
of address: 13540 CRE
CLEAR SPR
For property located at: 1310
Lot No. 001 Subdiv-
Owner's Agent: _
Agent's Address:
Previous Owner:
Fees Paid in Full? ::S
Date Fees Paid 08/25/94
WCSD Dist./Coll. System
WCSD Ready to Serve
WCSD GRINDER
City of :iAGERSTOWN
Total
Remarks OWNER MUST CON'
WE
G
Latera with
Resid nti,
Fee
$ S1 -,-,5
0 0 Com er,
Fee
$
Gal/D
$ S1
r 600 Buildin
iee
ee
$
S700 Utility Nu
ee
$ S3.800
__
_ Phase_
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ED 'S
ial EU'S
Alloca 'on
Numb r_
Street Address
When connecting to a public water/sewer system, the installati of t)cnection and the abandonment of the previous private system
shall conform with the provisions of Maryland State la and WCSD p licy.
This permit does not supercede any local ordinan that is in a act nd to road excavations, plumbing permits. etc. ALL OTHER
PERMITS, STATE AND LOCAL, MUST BE OBTAIN BY THE P PNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH REMAINS WITH THE PROPERTY OWNER.
Signed
Date:
INSPECTION: At least 48 hours notice prior to
date is required.
ON SITE INSPECTION will be made by: Washing County Plumbing Board
33 W. Washi ton Street
Hagerstown, M 21740 Phone: 791-3072
Inspection Date: Plumbing Inspector r�
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD �R
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
r Permits Office
WCSD Inspector (Lateral)
WCSD Inspector (Connection) I
City of Hagerstown City of Willi rt
WCSD O&M WCSD ile
Plumbing Board Plumbing Inspectiony
THE PRINTING PLACE