HomeMy WebLinkAboutLat_14122TarheelCourta� 'TON WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway0/3 (o rrnQ.r
Williamsport, MD 21795
RYLJl"° (301) 791-3083
Permit to Connect to Public Water/Sewer System
Iso- ILAr7a
Type of Permit RES SEWER Permit No. SCP
Subdistrict Name Issue Date 09/20/00
Mainline Contract No. Void Date 09/20/01
Building Permit No. 152000-1840 Subdistrict No. 010
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOODC ROLE
HAGERSTOWN MD 21740
For property located at: 14122 TARHEEL COURT Street Address
Lot No. TH 9 Subdiv. FOUNTAINVIEW Phase 1 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
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
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 -
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: �� Plumbing Inspector:
PROJECT NAME: _ Uyn� n % e �✓ ✓�✓1 ""S PROJECT N0:
PROPERTY ADDRESS: /U DRAWING NO:
MAIN LOCATION: STREET/EASEMENT DATE INSTALLED: `�—/�= 0/
PROPERTY OWNER NAME: --- MI -IIA -1-2W TO MH /SO -/a6s
PROPERTY OWNER ADDRESS: __— MAIN STATION: 0 't 0s Rirrfr
SINGLE: DOUBLE:
CONTRACTOR; Cv�-id P/ / �/ (%�/� CONNECTION ® MH:
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NO SCALL:
WE, ME UNDERSIGNED, BEING SAID OWNERS OF 1111S PROPERTY, REOUEST PERMISSION TO INSTALL THE
(PROhERtN• ADDRESS)
DATE:
IOUSE LATERAL Al IIIE MODIFIED HEIGHT DESCRIBED ABOVE.
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T141S FORM SIIALL 6E USED IN CONJUNCTION WI11I IIIE GRAVIIY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DIVISION OF PUBLIC WORKS
oNrn Wil5lllNG1I7N COUN?'Y, Uwrtwa MOWDIf-1E0 SERVICE (..,/ITERAL.
t WATER AND SEWER GRAVITY SEWER
DEPARI AIENT
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