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00WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
• Williamsport, MD 21795 ladur
(301) 791-3083
Permit to Connect to Public Water/Sewer System Q 0
Type of Permit RES SEWER Permit No. SCP 150-1433
Subdistrict Name MATT'ANS/OH Issue Date 11/04/99
Mainline Contract No. Void Date 11/04/00
Building Permit No. PRJ 99- 2 2 91 Subdistrict No. 150
Permission is hereby given to:
Property Owner: ASAD GHATTAS` j
of address: 13224 FOUNTAI%
HAGERSTOWN fiii 2,17
For property located at: US RT. 11 S i� E A DUPLEX Street Address
Lot No. Subdiv. Phase Sec.
Owner's Agent: ASAD GHATTAS
Agent's Address: 13224FOUNTAINHEAD PLAZA HAG. MD 21740
Previous Owner:
Fees Paid in Full?
Date Fees Paid
YES Lateral with Mainline?
10/24/ Residential EDU's _
Fee $ Commercial EDU's
YE..S
WCWSD Alloc./Conn. Fee $ 2 - Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 0 Misc. Number
Total Fee $ S3,050
Remarks
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
Signed:
Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: `/ e, Plumbing Inspector:
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