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PROJECT NAME: /*44 OOM I4/LOS PNAJt PROJECT NO:
PROPERMSS: WA DRAWING NO: _
(AIN LOCATION: STREET/EASEMENT I -O T !OL DATE . INSTALLED: 71,'y/ Z U
PROPERTY OWNER NAME: - MH L�V;L TO MH �S
PROPERTY OWNER .ADDRESS: MAIN STATION: I f 0 1-7:
SINGLE: _ y DOUBLE:
:ONTRACTOR: Al rk)t F/kt-J �E/aiER!'R1S,�S CONNECTION @ MH:
SIZE & TYPE
SIZE & TYPE
INVERT 9
DEPTH
DROP
TEE/WYE
SERVICE PIPE
C. 0. WYE (A)
C/0 (B)
DEPTH (C)
D
E
F
g z(v P v C-
(p -,or s bie Z b Pvc
��`� . 3
5 5 3
l 7, 5
3; v�
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).
SHUW LA I LKAL LUCA I IUN, S l A l ION, U 1 [Ll 1 Y CKUSSINGS AND DIMENSION ALL PLK 1 INLN 11 I LMS
FLOW LEFT
i -f 03.77
DOWNSTREAM
MH # IS�L15
LIST QUANTITIES FOR PAY ITEMS HERE:
B Y:
W %NGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
DEPARTk9ENT OF ra)
j WATER QUALITY
RIGHT UPSTREAM
MH # iMo
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
BEPTOMBER _200-