HomeMy WebLinkAboutLat_14144TarheelCourt°T°N WASHINGTON COUNTYJ a
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3 WATER & SEWER DEPARTM
16232 Elliott Parkway JUL 11 2001
Williamsport, MD 21795
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(301) 791-3083 10/3/01 rn_LL�
PERMITS AND
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1569
Subdistrict Name MAUGAN S OH Issue Date 07/06/01
Mainline Contract No. Void Date 07/06/02
Building Permit No. P2001 -!D-8-6 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PL MWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14144 TARHEEL COURT Street Address
Lot No. 15 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
011061U1
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
_ Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
5j-, Misc. Number
Total Fee $
Remarks
FERENTIAL WILL
BE CHARGED TO REFLECT ALLOCATION FEE
I. -CREASE IF
PROPERTY IS NOT
CONNECTED 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 WI E P P RTY OWNER.
Sig ed: 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: D d I Plumbing Inspector: `
PROJECT NAME: Uu n'I-xi rly i',e cA/ fdc✓n `I d,.t
PROPERTY ADDRESS:. -r14 /3 �` /6 PROJECT NO: fV "- 6/6
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PROPERLY OWNER NAME:
MAIN LUCATIUN: STREET ASEM N DRAWING NO: [�
DATE INSTALLED: `�-17- O
Mi /-SO- 706
PROPERTY OWNER ADDRESS: 10 Mil /1-D.- /2&I%
MAIN STATION: d
CONTRACTOR: d r/a., d ��/�� f7 SINGLE: DOUBLE:_j�_
CONNECTION 0 MH:
SIZE do TYKE SIZE QTc TYKE SIZE do IYT)r= INvt I?1 0 Utf'111
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WE, T}IE UNDERSIGNED, 13EING SAID OWNERS OF TI IIS Pf10f'ERTY, REQUEST PERMISSION TO INSTALL THE
DAIS:
_HOUSE LATERAL Al IIIE MODIFIED HEIGHT DESCRI13ED ABO
ADDRESS)
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ATTEST:
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THIS FORM SHALL DE USED IN CONJUNCTION WI1H HIE GRAVITY SE
STANDARD DETAIL S-J.J. WER SERVICE CONNECTION SHEET
DI K510N OF PUBLIC WORKS
WA51flNCTON COUNTY, WR
Awn MODIFIED SERVICE LATERAL
WATER AND SEWER GRAVITY SEWER
DEPARWENr
JANUAnY, ,ass $-13 3A