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'ROJECT NAME: F'A E_ bom /41LLS p1mit f�-
PROJECT NO: fro' (06y
DR MOT5D DRESS: 1"I'MIPT WA
DRAWING NO:
JAIN LOCATION: STREET/EASEMENT I-OT iG3
DATE. INSTAL LED:
'ROPERTY OWNER NAME:
MH 1 �z TO MH
?ROPERTY OWNER .ADDRESS:
MAIN STATION: 1-030,a2'
-
SINGLE: DOUBLE:
:ONTRACTOR:
CONNECTION MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
C. 0. WYE (A)
C/0
(B)
DEPTH (C)
D
E
F
z(p Pvc A.
G''d sb� Zb PYC
co.a 3,�a.
(03' q�
• t>�
�,0
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR
CONNECTION TO MANHOLE, CHECK ABOVE,
AND UST INVERT DIMESION 'B'. AND DROP DIMENSION 'C' (IF
APPLICABLE).
B
A -
D
E
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND
DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT
UPSTREAM
MH#!��(00
MH#p&Zo
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WA HINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO.
NAME:
OIIVISION OF PUBLIC WORKS
COUffTY U4RnMD
r
GRA1ATY SEWER SERVICE
rro®WASHINGTON
DEPARTVENT OF
CONNECTION SHEET
WATER QUALiTr
S_,
�TL--'EP-R 3. 2 �