HomeMy WebLinkAboutLat_14133TarheelCourta�T°N WASHINGTON COUNT 1'
2 WATER & SEWER DEPARTMENT
16232 Elliott Parkway JUL 0 ` 0,01
Williamsport, MD 21795 /f
(301) 791-3083+
Permit to Connect to Public Water/Sewer System ,NSPEC_h ,.i'v.2
Type of Permit RES SEWER Permit No. SCP 150-155•
Subdistrict Name MAUGANS OH Issue Date 06/28/01
Mainline Contract No. Void Date 06/28/01
Building Permit No. P2001-1096 Subdistrict No. 150
Permission is hereby given to: rm4�v
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14133 TARHEEL COURT Street Address
Lot No. Subdiv. FOUNTAINVIEW 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 Ub7 2 1101Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ _ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $ $3,
Remarks K FEEERENTIAL WILL EE CHARGED TO REFLECT ALLOCATION FEE
INCREASE CTED BY THE PERMIT VOID DATE.
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.
Signe ate: Z.
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
/ 2
Inspection Date: F D "J "�� Plumbing Inspector:
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PROJECT NAME: t G"1 n f =' ,"ems
" PROJECT NO:
PROPERTY ADDRESS: 7-Y .X 'If O 2-1r
DRAWING NO:
MAIN LOCATION: STREET ASEM NT�`�_
DATE INSTALLED:
PROPERTY OWNER NAME:
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PROPERTY OWNER ADDRESS:
MAIN STATION:
CONTRACTOR:
CONNECTION 0 MH:
SIZE & DiPE
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DEPTH
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SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
�f WASHINGTON CGvr�rrM, ARYtAND
DOUBLE GRAVITY SEWER LATERAL
'' ` WATER AND SEWER
CONNECTION SHEET
DEPARTMENT
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MAY 2001 S—2A