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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
� 8t�3q
Type of Permit Comm Sewer Permit No. SCP 150- 1051
Subdistrict Name Mattgansvi l l /t)H Issue Date 5/29/90
Mainline Contract No. S-150-500 Void Date
Building Permit No. 89-2 46 3- 17 4 5 Subdistrict No. 15
Permission is hereby given to:
Property Owner: County Commissioners
of address: Court. House
Haeerst.own, 21.740
For property located at: Showalter Road Street Address
Lot No. Subdiv. Te rm i. n a l Bu i .l. d i n g Phase Sec.
Owner's Agent:
Board c -,f
C'()unty (`<)mmissioner•s
Previous Owner:
Agent's Address:
Court llOusc> , Ha¢erstowtt , 217-40
Fees Paid in Full?
11 Cy
Lateral with Mainline')—
ainline?Date
DateFees Paid
Residential EDLI'S
WCSD Dist./Coll.
System
Fee
$
i 500
Commercial EDLI'S
t'` WCSD Ready to
WCSD
Serve
Fee
Fee
$
$
0
0
Gal/Day Allocation "
Building Number
City of lla4
e r s town
Fee
$
2 1 0 0
Lateral Contract No.
Total Fee
$
9600
Remarks
Fees
i n�, o i ced
On
March 3
1989: not Pa i d
No
connec:t.i.ott f -an be
made until.
sewer c onstr-uc-t.,iora .°oml�if�tta i
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 WCSD 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
THEREWITFJ.AEMAINS WITH THE P PERTY OWNER.
Signed: Cie (� Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
p a Hagerstown, Md. 21740 Phone: 79yW�
Inspection Date: �! / / U Plumbing Inspectorrr YY'
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
Permits Office
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
City of Hagerstown City of Williamsport
WCSD O&M WCSD Fil
Plumbing Board Plumbingfil
LM
N GO
ASN�N D�STP,c'T
...21 -ON COUNTY PLUMBING BOARD FOR OFFICE USE ONLY
• Pormrt No.
'51Z
y,✓LINTY OFFICE BUILDING 33 W. WASHINGTON ST. HAGERSTOWN, MD. 21740 PHONE 791.3070 (P4vrnb1ng)
APPLICATION FOR PLUMBING PERMIT ll Dat. q C
Date 111,4)" 2 y19 Q Permit No. f �1 _ � 1' Cash Ch«k
(Building)
I hereby apply for permission to do the work, as listed, on the property described as follows, for which I tender herewith
the required fee. Permit expires 1 year after date of issue.
Owners Name 44;s'-z11A1 io�r..1 l o aAl7y f'1112pd 2? ` fL1n,s_s /,,Al Phone No
Location of Property 44S ty A.)QrD,V WUN i Y kq-(,/oP/RL Ake,k.'T - 4c L,, Z!'ki4 /y lAj&, �.
(House No. & Street: also nearest intersecting rood or street)
S ivy,' l /)�>' Town or Vicinity
Sub -division Lot Block Section
Is property located within city limits of municipality? (Yes) Ao`3i If yes, name
I hove been authorized by the owner to do the work
herein described, and in the execution thereof, I agree to
obide by the regulations of the Washington County Plumb-
ing Board.
WNER1111(ZI AXI i l CL�11/11CJS/a�
�ArSt-f,AJG' Ta S�
the municipality
CHARGES
address if d. ferent from above,
A TYPE OF IMPROVEMENT B TYPE OF HEATING FUEL
C TYPE SEWERAGE DISPOSAL
D TYPEOF WATER SUPPLY
I NEW - FRAME
I ❑ GAS (HOT AIR OR HOT WATER)
I PUBLIC SEWER
—
I PUBLIC SYSTEM
2 ❑ NEW - MODULAR
2 ❑ OIL (HOT AIR OR HOT WATER)
2 ❑ PRIVATE SYSTEM
2 ❑ PRIVATE SYSTEM
3 ❑ ADDITION
3 ❑COAL (HOT AIR OR HOT WATERT
❑�1EXISTS ❑ PROPOSED
�XISTS ❑ PROPOSED
4 ❑ ALT./REPAIR
4./ELECTRICITY
(SEE SPECIAL
FOOTNOTE)
I hove been authorized by the owner to do the work
herein described, and in the execution thereof, I agree to
obide by the regulations of the Washington County Plumb-
ing Board.
WNER1111(ZI AXI i l CL�11/11CJS/a�
�ArSt-f,AJG' Ta S�
SPECIAL FOOTNOTE: If plumbing work involves
tapping a public water or
sewer system or both, a receipt for payment of applicable
fees and/or charges from the proper municipality or the
Washington County Sanitary Commission MUST BE PRE.
NTED with plumbing application.
INSPECTOR'S APPROVAL
Connection to Public Sewer ('>.i -Date
Connection to Public Water Date -
underground t / Date4
RoughIn(. ) Date
Final Approval All Plumbing ) Date
CHECK
HERE
S %o s✓i✓t I lam. 2-17'i,,O
CHARGES
address if d. ferent from above,
n
Building Water Service
SOo
Master Plumber
Building Sewer Service
SJ p
Address
cv�✓ ✓11y zl7_/-
MD License No.
V&ye
Wash. Co. Lic. No.
07-2-74)
SPECIAL FOOTNOTE: If plumbing work involves
tapping a public water or
sewer system or both, a receipt for payment of applicable
fees and/or charges from the proper municipality or the
Washington County Sanitary Commission MUST BE PRE.
NTED with plumbing application.
INSPECTOR'S APPROVAL
Connection to Public Sewer ('>.i -Date
Connection to Public Water Date -
underground t / Date4
RoughIn(. ) Date
Final Approval All Plumbing ) Date
CHECK
HERE
PROPOSED PLUMBING WORK
CHARGES
.�
Building Water Service
SOo
Building Sewer Service
SJ p
Well Pump
Heating Equipment
Water Cooled Air Conditioning
PROPOSED PLUMBING FIXTURES
DUAN
TYPE BSMT IST 2ND
9
Water Closets
Z
Urinals 7 -
Both
Bath Tubs
Shower Baths
Showers
Lavatories /
Sinks
Laundry Tubs /
Sump Pump
Floor Drain
2
Other E.W.C. Z
PROPOSED PLUMBING APPLIANCE
/
Water Heater
Dish Wosher
Washing Machine
Water Conditioner
Garbage Disposal
Ice Maker
t-'_
TOTAL
Jl3.mo
Make Checks Payable To: BOARD OF COUNTY COMMISSIONERS
Health Dept. No.
P�Jw31�.� ItJS°�^T_
CONSOLIDATED BUSINESS FO INC HAGE RSTOWN•MD 21740 GOOD BUSINESS IS A MATTER OF FORMI
COUNTY COMMISSIONERS FOR WASHINGTON COUNTY
PERMIT APPLICATION & ZONING CERTIFICATE PERMIT O ^
qDEPARTMENTOFOF BUILDING PERMITS & INSPECTIONS DATE ISSUED
33 W. Washington Street, Hagerstown, Maryland 21740 • 791.3070
I JOB LOCATION ^ �
C
r
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I l C__� ►Ju
SUBDIVISION NAME/APPROVAL DATE
r — — —
LOT NO. SEC. NO. PLAT NO. TAX MAP BL K NO PARCEL N0. ZONI�N(y'�.�p IST.
T
A
, C.
—
I
O
CACCOUNT NO.
---�ipdVPR�O�V�E MENT €L C2'Z' c�TION DIST. LIBER FOLIO ^� ,QCRAG-E LOT SIZE
ot
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OtCONTRA
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p
NERIS)PHONENO.
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ADDRESS
CITY STATE ZIP
0CR—
AS
NAME/OWNERS RE SENTATIV
��.
PHONE N0N
R
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t..Qx�c.�.
A
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N CONTRACTOR'S
ADDRESS
CITY STATE ZIP
HOME IMPROVEMENT LIC. NO.
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DESCRIPTION
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1
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ORD.
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1 l V �'�J U1p ►"�K_�
PERMiT FEE
0
1 M
P A
J
B
T T
I I
BEDROOMS
FIN.
FOUNDATION SIZE
PORCH SIZE
GARAGE SIZE
CARPORT
SIZE
DECK SIZE
O O
N N
EXIST. TOTAL
:::EXTERIOR
NO FULL BATHS
NO. HALF BATHS
UNITS
E R
❑ SEPTIC
GAS
ELEC.
TYPE HEAT
AIR
COND.
PUBLIC
ATER
PRIVATE
❑ WELL
CAUTION
I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all
provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not.
I further understand that to begin construction before a building permit placard has been issued and displayed on the job is
a violarn of ttbjaJaAA Use and Occupancy permit must be received before permitting occupancy. ?
nnlre risen lGF DATE
Z
O
N
I
N
G�
Ol
S
T
E
L
A J.
N *YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE -
N SCRIBED BY ZONING ORDINANCE.
F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS
a E7��C d �a0
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T Tc R Al i/V R L Q�, 1 ldl vti \A/ C s � s �= /JGL X / 5,00 - � �7,5-
I V
N S —l�D -5 �b 5�,0 A6'l����' f �-� l 9 6 0 d
-S-- l 5 D ---
AGENCY NAMES DATE
APPROVALS
NEW ADDITION ALTERATION ONE TWO MULTI
BUILDING FAMILY FAMILY FAMILY JBD OF REFERENCE ALS BUILDINGDEPT.
NON R SIDEN7IAL DESCRIPTIOM RESID TIAL DESCRIPTION HEALTH
tt QL�� DEPT.
LOT TRACT AREA tl��`��- OFF STREET PARKING
PROPOSED MIN BY ORD. PROPOSED MIN. BY ORD. ZONING
LA? AREA PER FA MI IN. BY 0110. PROPOWD LY LOT WIDTH MIN. BY ORD.
PROPOS
FRONT YARD SETBACK REAR YARD FIRE
PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD, MARSHAL
LEFT SIDE YARD RIGHT SIDE YARD
PROPOSED MIN. BY ORD. PROPOSED MIN. By
SPECIAL
ORD.
CONDITIONS
L
A J.
N *YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE -
N SCRIBED BY ZONING ORDINANCE.
F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS
a E7��C d �a0
��� c of y 5 x�`�aa�-�
T Tc R Al i/V R L Q�, 1 ldl vti \A/ C s � s �= /JGL X / 5,00 - � �7,5-
I V
N S —l�D -5 �b 5�,0 A6'l����' f �-� l 9 6 0 d
-S-- l 5 D ---
AGENCY NAMES DATE
APPROVALS
NEW ADDITION ALTERATION ONE TWO MULTI
BUILDING FAMILY FAMILY FAMILY JBD OF REFERENCE ALS BUILDINGDEPT.
NON R SIDEN7IAL DESCRIPTIOM RESID TIAL DESCRIPTION HEALTH
tt QL�� DEPT.
LOT TRACT AREA tl��`��- OFF STREET PARKING
PROPOSED MIN BY ORD. PROPOSED MIN. BY ORD. ZONING
LA? AREA PER FA MI IN. BY 0110. PROPOWD LY LOT WIDTH MIN. BY ORD.
PROPOS
FRONT YARD SETBACK REAR YARD FIRE
PROPOSED MIN. BY ORD. PROPOSED MIN. BY ORD, MARSHAL
LEFT SIDE YARD RIGHT SIDE YARD
PROPOSED MIN. BY ORD. PROPOSED MIN. By