HomeMy WebLinkAboutLat_13942PatriotWayI- O
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'ROP(]ESS: l'RTQlO W DRAWING NO:
JAIN LOCATION: STREET/EASEMENT I -O /Or DATE. INSTALLED: lllft' _!(r
'ROPERTY OWNER NAME: MH 15;-qS TO MH
PROPERTY OWNER .ADDRESS: MAIN STATION•
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SIZE & TYPE
SIZE & TYPE
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DEPTH
DROP
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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).
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LIST QUANTITIES FOR PAY ITEMS HERE:
B Y:
ASHIN N COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
DEPARTMENT OF
/ WA TER QUALITY
RIGHT UPSTREAM
MH # !Sf
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTEMBER 2044