HomeMy WebLinkAboutLat_14110TarheelCourtCIONWASHINGTON COUNTY
3�r " �`i WATER & SEWER DEPARTMENT
` 16232 Elliott Parkway
Williamsport, MD 21795 tl to/3/o(
(301) 791-3083 rnvA.s
Permit to Connect to Public Water/Sewer System
150 - ILA(0(o
Type of Permit RES SEWER Permit No. SCP ft_tf:--
Subdistrict Name MAUGAN S/ OH Issue Date 09/20700
Void Date 09, 0 , 01
Mainline Contract No.2
Building Permit No. P2000-1816 Subdistrict No. 010
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 2 4
For property located at: 14110 TAR EL COURT Street Address
Lot No. TH3 Subdiv. FOUNTAINVIEW Phase Sec.
Owner's Agent: DAVID SHAOOL
PLUMWOOD CIRCLE HAGERSTOWN MD 21740
Agent's Address: 11029
Previous Owner:
YES Lateral with Mainline? YES
Fees Paid in Full.
Date Fees Paid09/20/00 Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ 5UuGal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 200 Misc. Number
Total Fee $ '
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.
Sign V_ -V 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: G� �� Plumbing Inspector:
PROJECT NAME: uvn 'e"/ rte
PROJECT N0.
PROPERTY ADDRESS:- 7-w �` DRAWING N0: /a °"
MAIN LOCATION: STREET AS _ DATE INSTALLED: f-14-01
PROPERTY OWNER NAME: Mill -0-126'y TO MH
PROPERTY OWNER ADDRESS: _ MAIN STATION: 14 25-,qijowr
__-- _--__--- SINGLE: DOUBLE: I-"""
CONTRACTOR:_-CvirrGfJ/=%n�yy/� _ CONNEC-TION ® MH:
SIZE do 1Y13E SIZE do IlrlT SIZE &. IYI'L INVElt1 a U pill
iEE WYE UOUITI_E IEC SEI2VICr r'If'E MAIN C�0 A B (LT) C (LT)
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WE. THE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL 111E
(hRoPf:R1v nUUrESS) HOUSE LAIERAL AT 1I IE MODIFIED r1EIGm DESCRIBED ABOVE.
DA1E:
ATTEST:
WAST TING 1061 COON h WA ICR & SEWCI' I)I-p i
►�rrN if.0 r,In;,nL
SIC.NA IUP;-�
1141S FORM SIIALL BE USED IN CONJUNCTION WI11( 111E GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DMSION OF PUBLIC WORKS
41E'�; COUNTY,WRYUNO MODIFIED SERVICE LATERAL
AND SEWER GAZAV1TY SEVER
ARI)WI JANUAf7Y, 1099
S -13.3A