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ROJECT NAME: F/zEiEDam /4/4 5 PROJECT NO: 6S'
'ROPE gIA TRESS: Awrovor tvq DRAWING NO::,
JAIN LOCATION: STREET/EASEMENT 1,0i ffi DATE. INSTALLED: /a9f —
'ROPERTY OWNER NAME: MH J_,4"v_0 TO MHS
?ROPER TY OWNER ADDRESS: MAIN STATION: 3L`4"312!�—
SINGLE: —IZ� DOUBLE:
;ONTRACTOR: SgTk,c F/ �� .EniTER�R/S, S CONNECTION 9 MH:
SIZE- & TYPE
SIZE & TYPE
INVERT ®
DEP
DROP
D
E
F
TEE/WYE
SERVICE PIPE
C.O. WYE (A)
C
/O(B)
DEPTH (C)
$ Z(o pv� A�
(v�d sD� zb Pv�
Cvl1. 3�.
!1.3
3�,5
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).
SHUYV LA I tKAL LUUM I lUN, 3ltAllulN, V I ILI I I VI.VJJ ,v -••••-• •_• -• --
FLOW LEFT
311�ty
DOWNSTREAM RIGHT UPSTREAM
MH # _. MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: �
AS N TON COUNTYINSPECTOR
.DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
3
DEPA RTMENT OF
j WATER QUALITY
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
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