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'T WASHINGTON COUNTY / / l
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
�7RYL'I, (301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SaIER Permit No. ` "`r 150-1358
Subdistrict Name MAUGAN S,' fz Issue Date :.8/ 97
Mainline Contract No. 585 Void Date 9/98
Building Permit No. PRJ 97 _. 2 2 41 Subdistrict No.
Permission is hereby given to:
Property Owner: DSTONE !N -C.
of address: NORTH VILLAGE
s;GERSTOWN MD 21742
For property located at: 17 922 JENN?FER LANE Street Address
Lot No. iii Subdiv. MAUGANS MEADOWS Phase Sec.
Owner's Agent: .I +STONE INC.
Agent's Address: L8710 NORTH VILLAGE HAGERSTOWN MD 417 4
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline?
Date Fees Paid
3 / 1 E / 97
Residential EDU's _
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
_
5 ' 050 Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
= Misc. Number
Total Fee $
`
Remarks
YES
1
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 Countv 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: 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
Inspection Date:f Plumbing Inspector:
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