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HomeMy WebLinkAboutLat_16856PetmarCircle�lll"14SHINGTON COUNTY SANITARY DISTRICT 33 WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM Ma u g a n s v , Permission is hereby given to: lit a r° L : I I R - L i ri PERMIT NO DATE SUBDISTRICT -lard _ For Property Located at: 206 Petmd r Circle _I (SO B19 -p- Owned by: Martin R. Line Address: 266 Petmar Circle, Hagerstown, MO Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size To Main Line: ( j ) Units Other Industrial Connection Fee $62U •00 — Date Paid To connect to a public sewerage/\N4t9,,r 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:Acc©unt NO. 0-15-8820-6 Secretary -Treasurer .O 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: x Date Plumbing In ector 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: DISTRIBUTION: Perm Fie Plumbing Bo Office Date City 0T Hag. i WASHINGTON COUNTY SANITARY L TRICT WASHINGTON COUNTY, MD. Project: Maugoney lielurcmara n illo Street (or location):-- e'�V L 7"' q 1ANITARY SEWER LATE'," CONSTRUCTION REC(ii�fi Contractors Lisbon Contrac ols I c. -- MH 569 TO MH 570 ✓ Date Installed 9 -14--P4 Wye Sts. On Main 0+9Z•-7 NOTES: U PVc. 1 9.11 V.F. I St' d. 2 a A0 (-r- ' Drop I I Depth of Claenout 9•! 1 1f lou Line Cleanout 23,43' ---From Laysd • ! fl % IJ%A Basement Service S o"Z,7 LENGTH •Horz.• Total 25.4-3 �F 7ps+" -. w -c v 254u6c:C-4 Amounts pertaining to work completed this periods reviewed and approved. BY f=ZL inspector Contractors Rep. Washingtc'ounty Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S I UYS ce Property Address: DWG. #601-309 ISH 569 to SIH 570 Place an 'X' in the sketch below to indicate where the property owner wants Placesarwooden stakevice lin the tground tenter the at that location. property. h 1 729 j 8 (206) �L-z 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 ne r the propert line. _ C� S�3 Date: / v u� Owner Owner Attest: A.a. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 - r '- CA, KAs <► Lo 6-9-83 Washingt( County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-3 Property Address: �n� Dai mar rim DWG. #601-309 ISH 569 to MH 570 he sketch below to indicate where the property Place an 'X' in t owner wants the service c stakeonnectlin the(lateral)on to tenter at that location. property. Place a The undersigned agrees that the Sanitary District may excavate an additional five (5) feet inside the property er's line so as to facilitate, and make less expensive, the own connection to the lateral and to prevent damage to the cleaerty which will be installed by the District at or near the property line. Date: Owner Owner Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56