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AS -H I NGTON
33 W. WASHINGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGEDANUE6CSYSTEM
PERMIT NO. 1 r !r
DATE
SUBDISTRICT h1e)- 15 —
y Maugansville/Orchard Bilis
Permission is hereby given to: W i I I i a {n 3. Sm i t it
For Property Located at: 2403 Wood Land Drive
Owned by: W i I I f 3,'n a. SM i fi h
Address: 2403 14000an`d`=b('*`re, �1 qerstown, M0 2'!740
Type of Connection: To Service Connection
Type of Service: Residential A Units
Commercial
Meter Size
To Main Line:
Other
Industrial
Connection Fee 3620. UU Date Paid 4/4,/b,
To connect to a public seweragelgUMN 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.
Water.AAccount No. U-15-8490-1
P
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
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-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permit
Field_
Date
Plumbing Board h
Office City Of Hag, 1
,......,w...r,....w..w.+..:..r... . ut.m•=.-.+.:w.�-:aworr,..•:.w,.;..urw,w,....:: -.
WASHINGTON COUNTY SANI.ARY DISTRICT SANITARY SEWER LATE
WASHINGTON COUNTY, MO. CONSTRUCTION REC(HIP
Project: Maucanevi
Street (or location):
Contractor: Lisbon Contractora. Inc.
MH � ZO TO MH 5Z,"
vw�Data Installed 2c' JuI7ea4-- Wye Ste. On Main
/?vc.. oHOrlt •
a'ZV F St d.
NOTES: Drop 23.90�:�: 4,'83f�6.85`Z�(eBLF.
4N4)
� 4
j X6.8'------
1 �• �
� I �
(v 504 2XW.c .
Depth of Cleanout 5. 30V . Vlou Line
Cleanout 18.o- From H4AI ,
4; t.
Layed Air 0, -op
Po�9F3cC Basement Service
5Lo 1no3Z/
4.Z✓'S�ubFGo�
Amounts p ,tsininq to work completed this period, reviewed and approved*
cA
a !-- _ •t 2
30 Ins ec or 1`'onrec ora op.
�^ AM% cel bu)01�v
Washington County Sanitary District
Or. SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-3
t4eProperty Address: -?4 3 Woodland l�
ISH 520 to MH 521 _ Uldr, -#601 317
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.
The undersigned 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 a`
Owner
0011- Attest: T -2i'116
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56