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WASHINGTON 33 W. WASHINGTON STREET P.O. BOX 571 COUNTY SANITARY DISTRICT HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM Permission is hereby given to: ' i!X)t0j, ' ' Tliompsor. CN PERMIT NO. DATE T/ 'L, SUBDISTRICT (� For Property Located at: NQS Rowland Avenue ind L©t #L/dign Street Owned by: _ Timothy W. Thompson Address: Rt 4 2M McDade Road Haqerstown, MU 21740 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size t. To Main Line: ( i) Units Other Industrial Connection Fee $3.840-00 Date Paid 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 Permit Fee Final Inspection Made BY: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Plumbing Inspector Date 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: Permitt Plumbing Board Field Office Date