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PROJECT NAME- � ��cc�. Allk
PROJECT N0:
PROPERTY ADDRESS: Z07-5- 15- /79..1%'Ju3lrce SuF /Z
� DRAWING NO:
MAIN LOCATION:EET ASEMENT DATE INSTALLED: 3
PROPERTY OWNE(R� MH(Sr) 7 TO MH old
PROPERTY OWNER ADDRESS: MAIN STATION: i4'"6ik7
CONTRACTOR: CONNECTION ® MH:
SIZE & TYPE
TEEO1
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SIZE & TYPE
DOUBLE TE
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SIZE & TYPE
SERVICE PIPE
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sew. qo
INVERT ®
MAIN
J�1`6, oa
DEPTH
Cho
/0
A
B (LT)
C (Ll
(RTIC (R
- ""lu ulmtwb1UN ALL PERTINENT ITEMS
FLOW
DOWNSTREAM
MH jJ,6
LIST QUANTITIES FOR PAY ITEMS HERE:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASH/NGioN COUNTY, MARYLAND
WATER AND SEWER
DEPARTMENT
LEFT
RIGIIT UPSTREAM
MHp/3()7
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 5--1 3.2A