HomeMy WebLinkAboutLat_13702WoodlandHeightsDriveWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740--
(301) 791-308313084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM SUBDISTRICT
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
To Main Line:
Units Other
Industrial
Date Paid
To connect to a public seweragelwater system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: / _ Date
Plumbing In ctor 4/
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Perm
Plumbing B
Field_ Offi
Date
Aft
WASHINGTON COUNTY SANI.ARY DISTRICT SANITARY SEWCR LATE,
WASHINGTON COUNTY, MO. CQMOTA T #M! REC�utf�
Project: Meueansvi
Street (or location):
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Contractors Lisbon Co.n tars- LOS,
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Oat• Installed zz .Jure 8¢ Wye Sto* 'Apw -. 9'�
Depth of Cleanout 4.80V r- Vlow lino
Clesnout A- P from -t= m41u
Loynd • Drop
• �osse�E Basement Service
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Amounts partaiifin0 to work coapietad this por+odg reviewed pnd pppsaveo*
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
37Dd Contract No. SD15- 3-S
1,9
Property Address: l`e
-2- -1 Woodland Dri
H1H 526 to ISH 529
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
Property. Place a wooden stake in the ground at that location.
r.,
1
(2
IGr�
Theundersignedundersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive, the owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
Date.
Owner
wner
Attest:
Was,. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56