HomeMy WebLinkAboutNoLat_13819PennsylvaniaAvenue�.�CT°N WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 G O
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit - „Wris Permit No. p 1 50 -1 4 ^q
Subdistrict Name Issue Date 11 / 04 / g g
Mainline Contract No. Void Date 11,/04 / 00
Building Permit No. �. qg _ 2 289 Subdistrict No. 150
Permission is hereby given to:
Property Owner: L S34 r
of address: , 11*)10
HAC`ERSTOWU eft) ? 1 ; 40
For property located at: RT 1 1 S nF A - i O Street Address
Lot No. Subdiv. Phase Sec.
Owner's Agent: A: AD=fiATTAS
Agent's Address: 1_3744 FnT7NTA T NT4FAT) PLA7A HAG MD 21740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline?
YE,
Date Fees Paid
10/24/99
Residential EDU's
1
Fee $
Commercial EDU's
0
WCWSD Alloc./Conn.
Fee $
$2,050 Gal/Day Allocation
00
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
S1,000 Misc. Number
Total Fee $
$3,050
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 7
i
Inspection Date: Plumbing Inspector:
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