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WPi S'HINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084 i PERMIT NO. DATE SUBDISTRICT PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: Ja0 For Property Located at: c� c Owned by: Address: Type of Connection: To Service Connection To Main Line: Type of Service: Residential ( ) Units Other Commercial _ Industrial Meter Size Connection Fee Date Paid To connect to a public sewerage/Wal6r 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 SF9cifications. 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 A ?'x" Final Inspection Made BY: Dat Plumbing Inspector 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 Board Field Office WASHINGTON COUNTY SANITA*.�DISTRICT WASHINGTON COUNTY, MO. SD15-3—S Project: M_augpnsville Orchard Hills Sanitar lyaC7 enV1 5q IkjC�ni6A Street (or location) : C -A/ A� 8�Z ADS �S .-14k SANITARY SEWER LATE! CONSTRUCTION REC(ii;fi race Collection S Contractor: Lisbon Contractorz-. Inc. ir/i dor p is MH 707 TO MH 7_ O8,_„✓ Date Installed To,IZ /8 � Wye Sta. On Main(��: CXB WYL J1LL- SIZE TYPE PIPE (1" fp.(/C. 5v/Z- 2141 NOTES: £3" ?vc. C�.Urr' �_— Lime, TYPEI EXCAU. LATERAL LENGTH pVC. -7 I St' d. LENGTH *Hort.= Tot *Slope + Horz=Tota Drop 70.00) t78' Depth of Cleanout ®Flow Line Cleanout /5' On rem A4AIAIL/A/E Layed ® 2.00 • Basement Service MH# 707 51-A. ( f- 3-/. 5 0': C.C. S7A KE MH# 708 Amounts pertaining to Work completed this period,,revirawed and�epproved. By WCSD Inspector Contractors Rep. (rrirm urir-6) 0011h. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S 14yaoL t�_V)nSylVCLnvcA — Property Address: Box 236 - Showalter Road MH 707 to MH 708 DWG. #601-342 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. �- 707 �V 8" SAN. - —1 w _---T-�-- ter' 0 872 (BOX 236 ) 'r OIL G) 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 District �a.t or near he property line. Date. 41Z 81—. ner Attest: Was . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 icTaa C©tiAAD Owner '.f 0`r— WASHINGTON 33 West W COUNTY SANITARY DISTRICT ington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: r Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: 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, Inc. Approved by W.C.S.D. Inspector Date