HomeMy WebLinkAboutLat_13526PennsylvaniaAvenuej
„JINGTON COUNTY SANITARY DISTRICT
33 W. sVASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. B04571
PERMIT NO. '
DATE 6/'L zS5
I
SUBDISTRICT iYO. J
PERMIT TO CONNECT TO PUBLIC SEWERAGENATER SYSTEM _ h a -rd Hi = !
Permission is hereby given to: Phyllis Wolf tMLP
For Property Located at: 2225 Pennsy,lVanid
Owned by: Phyllis Wolfe Address: 2225 Pennsylvania Avenue, Hagerstown)
Type of Connection: To Service Connection R
Type of Service: Residential
Commercial
Meter Size
To Main Line:
I ) Units Other
Industrial
Connection Fee $621j. U Date Paid 6/21185
To connect to a public seweragelvwk6r 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.
Water Accouwt No,. Unknown
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 lnspVctor
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:
Final Inspection Made By:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
DISTRIBUTION: Permittee Plumbing Board
Field Office City of Hag. 1
WASHINGTON COUNTY SANITARR
WASHINGTON COUNTY, MO.
3ISTRICT
19
SANITARY SEWCn LATE'."
CONSTRUCTION nECoor!
Projects Mauoinsyl Orchard Hi le Sanitary Sgwgraag collection Syataal
N.
Street (or looation) s � A 'T '7
Contractor:Lisbon ContractQts. I c.
Date Installed to ' u
B..x,, - [_• soR 2� avec..
NOTE 3:
MN Ei` TO MM
Wye Ste. On Plain -Ex:3.8" f.
St1d.
Drop 1 � �_ 51. ►=,
Depth of Clesnout� *flow Line
Cleanout I 5, From +- mAmi
Layed 0 -# AFTF_R 0201!:D
• tic Basement Service
2 'Slab �: Gu p
LENGT
z.• T
7.4{- 15,Z 2!2.�
C
(v 10
r
Amounts to nfl vor completed this period, reviewed and approved.
8Y
WCSD Inspector Contractors Rep,
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
35X Contract No. SD15- 3-S.
Y�NN
Property Address: 2,2-f5 s Avenue•
OWNER V■ 1 N W1 - .1 IMMIM
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 owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the t at or near the property
line.
A 9,
Date:
Owner
(�
Owner
0001, Attest:g�jj S t
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
(o I —:> (Dog '00W
(2,� `T
f .ate
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 a (301 791 3083
,i
19$4
WASiHIif� T N CO.
SANITARY DIST
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
•
Address Z Z z vE
-7 <xx i Signed
roper y
Date
,s
""Washington County Sanitary District •
33 West Washington Street
Hagerstown, ,Maryland 217.0
Rev Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
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:
Requested by Lisbon Contractors, I
Approved by W.C.S.D,./ Inspector