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WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER
Subdistrict Name 11 L H
Mainline Contract No.
Building Permit No. FR -
Permit No.
SCP 150-1434
Issue Date
11/04,99
Void Date
Ji/04/00
Subdistrict No.
L 50
Permission is hereby given to:
Property Owner: ASAD CHATTASI, ;1381, of address:
,
HAGERSTOWN MD 21'740
For property located at: US RT. 11 SIDE B DUPLEX 3 Street Address
Lot No. Subdiv. Phase Sec.
Owner's Agent: ASHD CHATTAS
Agent's Address: 13224 FOUNTAINHEAD PLAZA HAG MD 21740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid 10 7 2 4 , Residential EDU's 1
Fee $ Commercial EDU's
WCWSD Alloc.lConn. Fee $ �' Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ a Misc. Number
Total Fee $ ,
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 217404727
Phone: (301) 791-3070
Inspection Date:
Plumbing Inspector: