HomeMy WebLinkAboutLat_16852PetmarCircleWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. I0
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
(301) 791-3083/3084 DATE ? I -I j 1966
SUBDISTRICT 15
Maugansvi : _i iii ?.1 s
Permission is hereby given to: Ralph A. Bush C (�`l
For Property Located at: 2Uo Petmar Circle, Hagerstown, Maryland 21740
Ownedby: Ralph A- RUgh Address: ?08 Petmar Circle, Hagerstown
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Units
Connection Fee $620.00
To Main Line:_
Other
Industrial
Date Paid
Maryland 21749
7/12/55
To connect to a public sewerage/water system (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 Acct. No. 015-8625-7
Secretary -Treasure
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
Plumbi Inspector
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: Date
DISTRIBUTION: Permitt
Plumbing Board 3
Field Office City of Hag 1
WASHINGTON COUNTY SANITARY t TRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE';
CONSTRUCTION REC(unr?
Project: Mouasneville/Orchard Hills Sanitary[ ccion_awasa
Street (or location): r-,,4 r ' 730 PErMA/Z C))cCLK t '
Contractor: Liouln Con roc*^*a. Inc. �'
I
MH S7V -To M @.1�I �
Date Installed Wye Ste. On Pain 0+00 R4.1,
'=C-E-r�fi�26,n«. St�d.
oHorz.• Total
To �.V.M.N.
NOTES:
. L. Gap
Depth of Cleanout x,47 ' •f low line ��...
Cleanout z�•�' rowMe��� r
layad • Q x
Basement Service
t-
Cqp
Amounts pertainingto work completed this reviewed
and r
p psr:od� reviewed and approvede
13 y
Inspector Contractors Rep,
�A -N- �G� Washington County Sanitary District
SEWER SERVICE LOCATION
-' 4� %Ao Subdistrict No. SD#15
Contract No. SD15- 3-5
Property Address: Petmar Circle
MH 570 to SIH 571 DWG. #601-309
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.
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: `��_ f
n r —
Owner
Attest: a�
VTdsh. Co, anitary District
(Form WCSC-1)
Replaces Form WCSC-56
0
A4H X70
..,
'W► ASHINGTONu COUNTY SANITARY DISTRICT
11
33 West Wash►ngton Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
RECEIVED
WAS MPlIGTO COUNTY
SAtliTAi,Y 'COlN1" ilS lull
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
h
Signed Property'~-
wner--
Date
'Washington County Sanitary District
w
33 West Washington Street
Hagerstown, . Maryland 21740
Re: Maugansville/Orchard Hills Sewers
0
Contract No. SD15-3-S
• Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
17 IA7�C,
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector_ . �✓�c,c� _'
Date Z// -S /8:. ��