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ORDJOT NAME: M AUG A lJ5 V 1 LL E S E V✓ ER pooeC-ei N0: y 53 s
�,. PR[�Pf=RTY AppRESS: I °� I °I L EO N A AVE , oRAwINc No:
MAIN I-OCATION: STREET/EASEMENT DATE INSTALLED: 7'� -0 7
MH ��
PRPPFRTY OWNER NAME: MEl?Sola PRofERTI ES TO MIi 220
� PRoP1=RTY OWNER ADDRESS: MAIN STATION:
SINGLE: � 'I1 DOUBLE:
CONTRACTOR:
#Whl
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CONNECTION ® MH:
SIZE & TYPE SIZE & TYPE
IN ® �O (B) D PDEPTH I RTOHP(C) D E::::�F
TEE/WYE SERVICE PIPE MAIN (A) __
�cH 3
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C'
(IF APPLICABLE).
B
A
B _ C
A
fA:
D
D E D
SHOW LATERAL LOCATION. STATION. UTILITY CROSS114CS AND DIMENSION ALL PERTINEn.NTITEEMMS
&A
FLOW LEFT
EF- B )t;2, Co q 7, Lf
T�6
--mt
Co
co �
1-0
0------
TSE
DOWNSTREAM RIGI IT UPSTREAM
MH # 220
MH # ZZ 2-
LIST QUANTITIES FOR PAY ITEMS HERE: SEE W019 K o R+b E R :it 20 7o S $ 2.
I -IST
fay. S 1-F A N E FR F N G H_ ----
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
ply7SlpN OF PUBLIC WORKS
GRAVITY SEWER SERVICE
{fAWNCrON COunm; U4R)l.wo
cor4r�ECTION SHEET
WATER AND SEWER
� .' pEPQRTMENT
MARCH -1996_ � —13.2