HomeMy WebLinkAboutLat_13954PatriotWayL o 1 /o O
PROJECT NAME: i/zu oom I4JLLS ?9841-11L _ PROJECT NO: Jr0- (.OaS
PROPISqZ
' RESS: P11TQI697- WA j/ DRAWING NO:
MAIN LOCATION: STREET/EASEMENT j /DD DATE. INSTALLED: ly a
PROPERTY OWNER NAME: MH /�q!5' TO MH io
PROPERTY OWNER .ADDRESS: MAIN STATION: 0'f 1 i • u .L
SINGLE: `r DOUBLE:
CONTRACTOR: .5-g1'kRF/lQ) ,�n�iERj�RIS,�S CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
C.O. WYE (A)
C/O (B)
DEPTH (C)
D
E
F
4 (o pve A�-
(o,�d sD� Zb Pry
q�fs��
sR4,��
t, 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 LUUA I IUN, 5 I A I IUN, U I ILI I T UNUJJINUb ANU UIMtNJIUN ALL rr-M I INLIN I I I LMJ
FLOW I EFT
ofii�o �
DOWNSTREAM
MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
AGTON COUNTY INSPECTOR
71
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, WRrL"D
d
DEPARTAv9Et%lT OF
WATER QUALITY
RIGh I UPSTREAM
MH # /-.!�u�
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTENSPOR 2004 I S —13.2