HomeMy WebLinkAboutLat_14120TarheelCourtN C
0c, WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway J 10 B l o t t�W
' Williamsport, MD 21795
°�1RY��ra (301) 791-3083
Permit to Connect to Public Water/Sewer System
150 - ILA ri
Type of Permit RES SEWER Permit No. SCP
Subdistrict Name M U Issue Date
Mainline Contract No. Void Date
Building Permit No. P2000-1839 Subdistrict No. o
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14120 TARHE7L COURT Street Address
Lot No. TH 8 Subdiv. FOL T INVIEW Phase Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid U97 207,00Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Remarks
Fee
Fee
Fee
Total Fee
Gal/Day Allocation
Building Number _
Misc. Number
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 WIT THE PROP'RTY OWNER.
Sign : 1 17,.0'11( I ate: 7 / d
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
71
/ Phone: (301)791-3070 Az�
Inspection Date: Plumbing Inspector:
A
PROJECT oi
PROJECT
NAME:
PROPERTY ADDRESS: Zy 74� sk"
DRAWINr. No: /,--7 d"o !�L
MAIN LOCATION: STREET/EASEMENT
DATE INSTALLED:
PROPERTY OWNER NAME:
Mill50-1.2-t-y TO MI -I 1-630-"66-�
PROPERTY OWNER ADDRESS:
MAIN STATION:
SINGLE: - DOUBLE-.
CONMACTUR:
CONNECTION 0 MH:
SIZE. & TYPE
7r
SIZE & I'Yl)t---
sill- N. IY111--
S 17
11,0A11 t 0
t a
Drp I I I
EF" YF
001 IOU I NY
SrIOACF, PIIT
M�Alfl
LI
c/o
A
1`3 (LI)C
{Ll}
5b - 2
6VIO
r
13 (RT- (RT)
A
F
I f I
1,10 !)(:ALL
WE. THE UNDERSIGNED, BEING SAID OWNERS Of TIIIS PROPERly,
REQUEST PEnMISSION TO INSTALL THE
LATERAL
AT THE MODWIED HEIGHT DESCRIBED AGOVF,
(PPOPIPTN' At)DRESS)
DA TE:
A TI E S T:
WASIONGION cOUNIN WAI[P `,[V41?
A I I.IP;
THIS FORM SIIALL HE USED IN CONJUNCITON W1111 tIfE GRAVIY SEWER SERVICE CONNEC71ON SHEET,
STANDARD DETAIL S-3.3,
DIVISION OF PUBLIC WORKS
WAS11INGTON COUN7y. UWnM()
MODIFIED SERVICE LATERAL
WATER AND SEWER
GRAVITY SEWER
DEPARIVEN)r
JANUARY. ltlqq
FS- 11-3 A