HomeMy WebLinkAboutLat_13718RoyalRoadY WASHINGTON COUNTY SANITARY DISTRICT
PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE
i
SUBDISTRICT iso • 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Ma U c d I; ; V 1 1 1 rC F1 d rC( Hills j
Permission is hereby given to: Ar. Casimir B. D l Uteo s z P51
For Property Located at: 2327 Royal Road, Hagerstown, ijaryland 21740
Owned by:
Dlugosz
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: 2327 Royal Road, Haf!orstowr,
Connection Fee
To Main Line:
i Units Other
Industrial
1620. OU
Date Paid February 27, tyoj
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.
Secretary -Treasurer
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: Gr/ Date
Plumbing Insp for
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: Permit
Plumbing Bo
Field Off
WASHINGTON COUNTY SANITARY O. RICT
WASHINGTON COUNTYt MO.
Projects Maunansvi
Street (or location):
INITARY SEWER LATE'."
CONSTRUCTION RECohr?
Contractors Lisbon Contractors, Inc.
i
MH 5.39 TO MH 538
Date Installed i 9 JL4 /L,/ eL4- Wye Ste. On Main /f(,t. 8 C.4.
Rvc.,
2 % .
2'S-Fuh � Cod '
Depth of Cleanout �fflov Line
Cleanout /5" From
L a y a d x
/Vo Basement Service
25fu b £i Go p
IL
MHS 539 s38
r
Amounts part inq to rk completed this par:od, reviewed and approved,
7/77
BY
Inspect -or C 0n t r act 0re mWep,
Property Address:
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13.7 Jc Contract No. SD15- 3-S
2.127 Royal Road
ISH 539 to 53re, DWG. X5601-306
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 Distr}. t at or near e property
line.
Date:20A4 4 Al—
Owner
ner
Attest
Was . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56