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PROJECT NO:SA-
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ROJECT NAME: l
ROPERTY ADDRESS �, oT.S I
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DRAWING NO:
DATE INSTALLED:
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AIN LOCATION: 'S'EASEMENT-L--
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ROPERTY OWNER NAME:
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ROPERTY OWNER ADDRESS:
MAIN STATION:
ONTRACTOR: T'►UrJ�2'r�' �ro-����s .INc. _ CONNECTION ® MH:
SIZE do TYPE SIZE do TYPE SIZE ac TYPE INVERT ® DEPTH A 8 (LT) C (LT)
TEE, DOUBLE TEE/( SERVICE PIPE MAIN C/O
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SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
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DOWNSTREAM RIGH T
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY: lj-. - r;+e-
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
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WATER AND SEWER
DEPARTMENT
UPSTREAM
MH # /Z 76
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET