HomeMy WebLinkAboutLat_17931JenniferLane0" WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway � ILCL
' Williamsport, MD 21795
7RY�wN (301) 791-3083 ) a�� q q
Permit to Connect to Public Water/Sewer System
Type of Permit
Subdistrict Name _
Mainline Contract N(
Building Permit No.
Permission is hereby given to
Property Owner:
Permit No.
Issue Date _
Void Date ,
Subdistrict No. = r
of address: 17 0 1 V, _-V T':
�! �- CT i,
For property located at: - I Street Address
Lot No. Subdiv. cv� Phase Sec.
Owner's Agent: ..P M_.9 t• EVTFIFI:-- - T 5 P,
Agent's Address: +i,�s IlArgv n,RTV RA{'2 1Wpc, N1 r, 1 4r,
Previous Owner:
Fees Paid in Full?
VES
Lateral with Mainline?
Date Fees Paid
; 0 /J / 98
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
,� , Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
_-'i o CAC Misc. Number
Total Fee $
Remarks
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 WITH THE PROPERTY OWNER.
Signed:
,Pn
INSPECTION: At least 48 hours notice prior to requested date is required.
ONSITE INSPECTION will be made by: Washington County Plumbing Board
JAN 1 it 1999
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727 WASHINGTON COW TY
Phone: (301) 791-3070 INFER & $SE H DEPT
Inspection Date: Plumbing Inspector:
WASH IrJGTON COUNTY SANITARY UIS I RICT
WASHINGTON COUNTY, ME). AAL.
Project:
jV�y,,J3
f pG✓�u>.3
- SD /S- J'//
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI`
Street (or
location):.1O..1.rJ.Lc2
.
Qn? / 31
Contractor:j��y,��Q/
Date Installed F Sr- 9¢
SANITARY SEWER LATEF
CONSTRUCTION REPORT
AOk
MHS//9 TO MH Giza
Wye Sta. On Main �,490 ,e
WYE
SIZE -
TYPE PIPE
TYPE
C. 0.
DEPTH
C, 0.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI`
� � s�vC
7,0
ST D.
_
S -7. S
Horiz. = Total
�'/ D
Slope + Horiz. = To
NOTES:
DROP
��A
ILA - .
Depth of Cleanout % D %rte at Flow Line
Cleanout 49• o From
Loyed at ? � /°
A!/i� Basement Service
MH #)))9
Amou pertaining to work completed this
BY 5w—�
WCS D INSPECTOR
Q
r
N
period, reviewed and approved.
CONTRACTORS
MH#//Z4
REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT —�
AUGUST 13, 1984 Is-