HomeMy WebLinkAboutLat_14211PennsylvaniaAvenue4oHINGTON COUNTY SANITARY DISTRICT
33 W. WASH.
P.O. BOX E/
STREET HAGERSTOWN, MARYLAND 21741-0571
PERMIT TO CONNECT TO PUBLIC SEWERAG&WNTER SYSTEM
Permission is hereby given to: Grady M. Grimm
For Property Located at: int• 8, Box 23
(301) 791-30b3l3Ub4
PERMIT NO. 920
DATE '11/26/35
SUBDISTRICT X o - 15
142-I1 Maugansvi le/6rchard Hills
Airoort auto Sales)
owned by: Grady M Grimm Address: Rt #8, Box 237, Hagerstown, SID 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
To Main Line:
Other
Industrial
Connection Fee $662-00 ._ Date Paid 11 /�6/•$5
To connect to a public sewerage/wo(tierhsystem (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 Account No. 15-6090-2
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
100, Plumbin nspector
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-P.O. Box 571
-. Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee i Plumbing Board
Field Office 1
Date
City of Hag. 1
- - -3ANiTARY SEWER IATE�,."�_
WASHINGTON COUNTY SANITARY 'TRICT CONSTRUCTION REC(��,f!
WASHINGTON COUNTY, MD.
Project: Mouamneyil a Urch ra n
/-la n54lvointeStreet (or location): CAI 870
i4p,)r 8 ox z3 - -
Contractor: Lisbon G ntractors. Inc.
f
MH� -7 9T O MH 7 zo
Date Installed 11- A- 04 Wye Ste. On Main I + -7/ R4_
1 IIFVC 1 ur-Pin 1 I VrL 1 4.........
St1d. r -F
35
Drop
NOTES: i I
Depth of Cleanout' �10.8 Vlou Line
Cleanout I.2. Z5 LF f TOVI m4+iU
L a y a d 41.z,.0 v
._Yr�.Basement Service
ST -A. /+71 Q
NO 719
LENGTH
orz.• Total
F
2's4u b �o f
Amounts pertaining to work completed this period,, r viewed and approved.
BY
Inspector Contractors epi .
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-5
11 -WI ?dnn5y1\j - c,,
Property Address: Rniite 8 Box937 (Pe.nnsylvan'R Avenue) -
MH 71q to MH 77n _ nl r Ar, --- --
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.
SAN.
i
(RT 8 BOX 237)
-O)
co
0), t
Sq �
CD
DMH SD�S_720\
I}
�i
B-708
(R -T. 8
6OX
` 237 )
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 at or near the property
line.
Ow Fer
� /GF?A-L--*5`c M _ GR i to K
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56