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.-)i ivrr L/11 C(RNL LUl.fi I IUN, I A I IUN, U I ILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
�hE'E Dam l-�IL�S
PROJECT NAME: PNJ?J� Ll— PROJECT Na—
DRAWING
0: ern' C�B�
'ROPER TY ADDRESS: I�qTQIOT" (,U�t{ �/ DRAINING N0:
CAIN LOCATION: STREET/EASEMET a� DATE. INSTATED: calL(✓i�
'ROPERTY OWNER NAME: MH TO MH - w
PROPERTY OWNER .ADDRESS: MAIN STA T10 .1 4 Y o
SINGLE: DOUBLE:
',ONTRACTOR: S`gTkA F/kLJ &v E/Z/�%2/S,f S CONNECTION ®MH: IqQ
SIZE & TYPE SIZE & TYPE- INVERT
TEE/WYE SERVICE PIPE C,O. WYE (�
(p "or sba z wc- 1 5'$Tco9
.DEPTH DROP
C/0 (B) DEPTH (C) D E F
5`167. 11
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).
FLOW
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH #�� MH
LIST QUANTITIES FOR PAY ITEMS HERE:
AN
WASIf[INGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
reoWWASHINGTON COUNTYM.4RYLWD
a
DEPARTMENT OF
\j WA TER Q UALlTY
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEP TO- BER 2004 I S-1-7.2