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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE P.O.80X571- ` '� �' • � ^' PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT tiviaugaiisvi 1 to/Jsrchard H is Permission is hereby given to: Lawrence N. Alsip, Sr. For Property Located at: k1 .8, P.O. Box 115 2„8 Owned by: LAwrence N, Al S i P, �Nddress Type of Connection: To Service Connection Type of Service: Residential 11 Commercial Meter Size I 11111111111111KNIMf , To Main Line: Units Other Industrial Connection Fee $620.00 Date Paid 10/21/85 To connect to a public sewerage/watersystem (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-Treasu r Building Permit No. INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Permit Fee Final Inspection Made BY: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Plumbing Inspector Date 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: DISTRIBUTION: Permit Plumbing Board Field Offi Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date WASHINGTON COUNTY Sh :ANY DISTRICT WASHINGTON COUNTY9 AO. SAM TART KWCR Lk"I CONSTRUCTION AEC(Mr) Projects lls/Or hard SAM Call�tiee lre� Street (or location) t eA�� A►-s,�5 51A&P -F ?,Ptennsylvcuiick- Ave-. Centra0tors Lisbon_Contr�ctor�. Inc. "N O IN �©Co ✓" Data inotalled ��' z Wye Sto. On MAIN a� z9.3k'r- 11 7r sbr.%D w W . �I�T G TTH e�,�. � - c moa zb c��. �v c: s.• W/ CIX. ' . i St 1 d. cap Z Z f: NOTESs Drop I 4.� 2S�ubf;C4p Depth of CiOnowt ailor Cleonout w row _ mAA • Saoewent Service M0gfl5 noVC(,�, Aseunto tai inq,to work completed this periodp roviowd and opprowd. Al s l� b Inspector Contractors-� op. 0 EZI Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S lg7.Z$ 'Renrlsylogniq Ave - Property Address: Alsip's Barber -Shop US Rte. 11 State Line MH 905 to MH 906 DWG. #601-359 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. ' I FRANKLIN cfl COUNTY P I (n WASHINGTON 0 q + COUNTY — °0 °D I I t 0 ; cn PUMPING STATION PROPERTY ' I SEE DWG. BB -620-008 FORCE MAIN cn 1 BATCH LINE _ _Ln I� O co cD I C? a A g 4a g 0 I �,f I Q o4 sE w�a IC== 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. Date: fJ2 el l B _3 L...7t W RtNCE 1 V L j I �� Owner Ow r Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56