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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
�! Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. ?.CP 150-1229
Subdistrict Name MAUGANSVILL/OH Issue Date
Mainline Contract No. 335 Void Date
Building Permit No. 94-5813 _Subdistrict No. 150
Permission is hereby given to:
Property Owner: LEWIS & MARY COSS
of address: 13505 OLDE MYSTIC CIRCLE
HAGERSTOWN MD 21742
0.
For property located at: 19 211 OLDE U WIC I CIRCLE H Street Address
Lot No. Subdiv. FOUNTAINH D N " 4..► Phase iii'ti.:
Owner's Agent: _
Agent's Address
Previous Owner:
e
MAL Oe AAL 4 *0, t>4. -kips
ROBERT RIPPLE ? '-r'}wliAt% +) c.ri :jt itr•.oz_ A,I%ar
108 OLD
D ROAIJJ.:
Fees Paid in Full?
Lateral with Mainline? YES
Date Fees Paid !
Residential EDU'S 1
WCSD Dist./Coll. Syste
Fee
$ $1,500
Commercial EDU'S
WCSD Ready to Serve
Fee
$
Gal/Day Allocation 200
ICSD
Fee
$
Building Number T
_' City of•=,'-7Lka 0WN
Fee
$ On
Utility Number
Total Fee
$ 2 200
Remarks OWNER MUS:
T
THE qC
STRUCTION DEPARTMENT AT 223-9416
iJRS PRIOR TO
CONNECTION:"
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 WCSD 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 REMAINS WITH THE PROPERTY OWNER.
Signed:ERNIFgT )3I GHOP JR—Date: R 1 ice_
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-307
Inspection Date: /Z– Z-4' Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
Permits Office
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
City of Hagerstown
WCSD O&M
— Plumbing Board
City of Williamsport
WQSD File
_ Plum in Inspection��
DEC 1 6 WA
WASHINGTON CO.
SANITAIKY DISTRICT
PRINTERS PRESS/7-9i/5286
Project No: PPJ94-16'76
iVit y No: 94-5813
�' nit Type: RES -NEW
,Iob Address; 19211 OLDE IPSWICH CIRCLE HN
Location, 5-88-184 19211 OLDE IPSWICH CIRCLE
PArcel No: 024-18-1128-00058
toning Dist; RS RESIDENTIAL SUBURBAN
Status., PEND :ING
Applied: Aug 12, 1994
Approved:
Applicant: RIPPLE ROBERT Phone Number: 301
RTPPT.E CONSTRUCTION
19108 OLDE WATERFORD ROAD
HAGERSTOWN MD 21740
Contractor:
^ * Owner: COSS LEWIS M F,: MARY L/135UZ5r0 6z tt�.Is-n�cIr-rLV,
,�_nr.actor: RIPPLE ROBERT Wqg. Ho A1,7,jy 301 -
Description:
2 STORY DWELLTNC:,FULL BASEMENT,2 CAR ATTACHED
GARAC,E,REAR DECK
FOUNTAINHEAD NORHT,PHASE ,'_,LOT 58
To: Initial Copy
�iwc�w��is�w
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wQi�wliw
w, = � iw■
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i
V e a t I a n ; 150,000,00 Construction Type: BT IC
"^.ndation Si^P: Exterior Finish..
Air Conditioning:
Type of Heat.... Septic..........:
Public Sewer...: Time Existed..:
I-ibIIc Water..., Well.
�"ns............. Time Existed. .
ec.tric........
New Baths:
2 . 5
New Bedroom,,: 004
SETBACKS
!,nt. 'T'r'act Area
Proposed
Minimum by Ordinance
for Area Per Family
Front Yard Setback
00
RPAr Yard Setback
00
.00
ft Side Setback
00
.00
00
Right Side Setback
00
00
f,nt Width
00
.00
The signature below
"a aignP.d the
by the reviewer is
an indication t at
the applicant
permit
perform the work in
application signature
accordanCe with the
sheet and thereby
agre'e's to
conditions of this
permit,
a
REVIEWED BY:
I`I
E C E I E
"JIM
" i iM
o�
l
��
WASHINGTON CO.
SANITARY DISTRICT