HomeMy WebLinkAboutLat_13803WeberWay110HINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
1
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
SUBDISTRICT
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.
Secretary -Treasurer
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: _ Date
Plumbing LKpector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Final Inspection Made By: Date
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
WASHINGTON COUNTY SM .ARY DISTRICT SANITARY SEWER LATE
WASHINGTON COUNTY, 140. CONSTRUCTION RECORD
Project: Mauoensvi.
Street (or location):
Contractor: Lisbon Can tars, Inc.
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NOTES: �
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Depth of Cleanout 4.o8V F *flow Line
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Amounts pertaining to work completed this periods reviewed and appsovod.
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. S
Contract No.
Property Address: 2A'� Weber Way
SD15- 3-S
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive, the owners
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
r,
Date: i�
�— Owner —
1 . Owner
Attest:
Wash. Co. Sanitary istrict
(Form WCSC-1)
Replaces Form WCSC-56
./►
WASHINGTON
33 West
s►�--5- /7
COUNTY SANITARY DISTRICT
ngton Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
RECEIVED
4VAS1-iI� GTO°4 UMTY
M`41TA -Y CC;j'Aj�,ily
Ud
INSP fOR '
DATE
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
{ Address
. Signed,v4ge
roper y wner ?g -7 -001A -
Date (o '
"Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SDI -5-3-5
• Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
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Requested by Lisbon Contractors, Inc. -ex:.--" -�
Approved by W. C . S . D. Inspector
Date 3�Z
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