HomeMy WebLinkAboutLat_17910JenniferLane�a C" ON CoG WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
��7RYL NNS Y IO/p!3/
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-1458
Subdistrict Name MAUL Issue Date
0 57U VV
Mainline Contract No. Void Date
Building Permit No. - Subdistrict No. 1
Permission is hereby given to:
Property Owner: R i C1iARD WILLIS
of address:
For property located at: - -
Lot No.Street Address
Subdiv. Phase
Sec.
Owner's Agent: PRESTIGOUS HOMES
if i
Agent's Address: C MROAD
Previous Owner:
Fees Paid in Full? Lateral with Ma' I• ') YES
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Remarks
Fee
Fee
Fee
Fee
Total Fee
In
Residential EDU's _
Commercial EDU's _
' Gal/Day Allocation _
Building Number
Misc. Number
Y �
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 County 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 RE-
MAINS WITWjHE PROPERTY OWNER.
Signe
J Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
i
Inspection Date: _(D • / F Plumbing Inspector: r
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERAL
WASHINGTON COUNTY, MD. A""- Alk CONSTI'' IrTION REPORT
Project: /YJ,9 gw,(aj /�Ztq�o�vS
Street (or location):\�:«
Contractor:2 T ,,�✓��cfs i 7 �1
Date Installed 7- //- % 41
WYE
g/4 4.?
NOTES:
SIZE - TYPE
TYPE PIPE C.O.
MH ,111J TO MH ///7
Wye Sta. On Main 2141 �T
DEPTH I TYPE I EXCAVATION
C.O. LATERAL LENGTH
ST D. Z g• O `
IDROP
Depth of Cleanout ZZ, e0 -r- -� at Flow Line
Cleanout -j . From ge r-I.-n,L
Layed at _ a?• / /�
Basement Service
LAYING LENGTH ;
Horiz. • Total i
Slope + Hdriz. = Total
� N �
Z
Olt)
MH #///,I MH#/// 7
Amounts aining to work completed this period. reviewed and approved. j
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
I
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13. 1984