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WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 / i �/oo
(301) 791-3083 I
Permit to Connect to Public Water/Sewer System
Type of Permit RES 3EB4 Permit No. SCP 150-1443
Subdistrict Name MAUGAN S / G - Issue Date 0 4 , 12 / 0
Mainline Contract No. 584 Void Date 04; 12/ 0
Building Permit No. P2000--0504 Subdistrict No. 150
Permission is hereby given to:
Property Owner: MICHAVL; SCIBILIA
of address: AVENUE
For property located at: ROCK MAPi-L DRIVE Street Address
Lot No. Subdiv. .:.'LE VALLEY ESTATES Phase Sec.
Owner's Agent: Mei,: L SCIBILIA
Agent's Address: 743 SUMMIT AVF` ' :GERI `' -7,__21740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YES
Date Fees Paid
04/:.2/00
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
Gal/Day Allocation 200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $=
Misc. Number
Total Fee $
S3
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.
Si ne .r. �
g �: Date: 1
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: 7 • a« Plumbing Inspector. <
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