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WASHINGTON COUNTY SAN T�Y C�ISTRICT PERMIT NO. 1042
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 Oct3
P.O. BOX 571 DATE , 1989
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property
Owned by:
SUBDISTRICT 15
'."!AUG=SVILLE
Address
ra�l�s+�3�.�..�.:�i�����:alC��►^l�i+�r�i�s�n����. �
Type of Connection: To Service Connection __XXX To Main Line:
Type of Service: Residential
Commercial
Meter Size
XXX ( 1 ) Units Other
Connection Fee
Industrial
$1,920.U0
Date Paid Oct 3, 1989
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.
'his perntit is issued with the condition that no connection is made to the public
sewer system until it has been inspected and completeed.
Q.,
Secretary -Treasurer 0=
Building Permit No. 89-2305-1561
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: Date
Plumbing Inspector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain \,yy
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made y: _
Washington County Sanitary District
D 2 1930
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571WASHINGiON•
Final Inspection Made By: Date SrA% lITARY DIST.
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
WASHINGTON COUNTY SANITARY DI,!�?RICT fix, SANITARY SEWER LATEF
WASHINGTON COUNTY, MD. 100b ')CONSTRUCTION REPORT
Project: Fou„r,�,n;
Street (or
location): ()Ll')
0-/.
. Lot
419
Contractor:
it - -T_ :_
/ ? /0'"
01�j
(4Jo14
Date Installed
MH/0-�9_ TO MH
Wye Sta. On Main ') 71 -
WYE
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
CO.
LATERAL
LENGTH
LAYING LENGTI-
�ST�D.
Horiz. TotalPVC
NOTES: I DROP
Depth of Cleanout at Flow Line
Cleanout From ' ' ;_r_e 01'1=,��
Layed at
Basement Service
MH
Amounts pertaining to work completed t
BY
WCSD INSPECTOR
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
0
4f To
S4FtaE,P Line 1-47-e 444
Slope + Horiz. = To
A�k,7T.giiJ A6eTiV —O
MHt#�,--�OX�
CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DICT
WASHINGTON COUNTY. MD.
Project:
Street (or location): OL7 L)g7-Eg1:"a y Gl-
Contractor:
Date Installed 6— (9
SANITARY SEWER LATEF
CONSTRUCTION REPORT
MH /0-29 TO MH
Wye Sta. On Main ') f 3,Q -
WYE
SIZE-
TYPE PIPE
TYPE
C. 0.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
StJQ-
yx yx y
/57,-9"
Horiz. = Total
� y„
OAC
PVC
ST D.
Slope t Horiz. = To
NOTES:
DROP
Depth of Cleanout
9,
Cleanout /� 2'' From
Layed at
Basement Service
at Flow Line
1A �n
M H # M H #
Amounts pertaining to workcompletedthis period, reviewed and approved.
By
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 FS -