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T°N WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway ` / .� a a 3
Williamsport, MD 21795 v�,
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-159$160 -
Subdistrict Name Issue Date 1�
Mainline Contract No. Void Date
Building Permit No. Subdistrict No.
Permission is hereby iven to:
Property Owner: LIVER HOMES
of address:
t1RULNS11'Uwr1
MI)
For property located at:
t' Street Address
Lot No. 8 7
Subdiv. NuhlIFIEROOK
ESITTES Phase Sec.
Owner's Agent:
OLIVER HOMES
Agent's Address:
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YES
Date Fees Paid
410 1
Residential EDLI's
Fee $
Commercial EDLI's
WCWSD Alloc./Conn.
Fee $
LVVGal/Day Allocation 200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number
Total Fee $
'
Remarks A FEE
DIFFERENTIAL
ALLOCATION
INCREASES it
FROPER77 IS Nul CONNEC
.
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 WLP-t-IHE PROPERTY OWNER.
r� 'n
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: 7�� J Plumbing Inspector:
WASHINGTON COUNTY SAN,TARY DISTRICT SANITARY SEWER LATERA
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
low
Project:
Ctroot (nr Inrntinnl • [P/i'Y7'go s = I eL4 I
Contractor: �-,ny&TTU/Ct�
MH 4 llp�
MH# Ill
LeT- 6-7
Amountsl pertaining to work completed this period, reviewed and approved.
8 Y d> ir+���
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
MH 11,50
TO MH
Date Installed 9` /7_ -`�'<o
Wye Sta. On Main /
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C- 0.
G0.
LATERAL
LENGTH
LAYING LENGTH
Horiz. 2 Tota
STPD.
S.D2, 35
Slope + Horiz. = Tota
NOTES:
DROP
I
+ I
Depth of Cleanout /O'
at Flow Line
Cleanout From 0 eb
Layed at
NSA Basement Service
MH 4 llp�
MH# Ill
LeT- 6-7
Amountsl pertaining to work completed this period, reviewed and approved.
8 Y d> ir+���
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984