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PROJECT NAME:
/"ACC Ob ILLS P Jt 111— PROJECT NO:
PROPERTY ADDRESS: 51A I 'E S D a I V,(— DRAWING NO: ,
MAIN LOCATION: %8&�EASEMENT 1-oT DATE. INSTALLED: I f
PROPERTY OWNER NAME: MH IS TO MH
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE: ✓ DOUBLE:
CONTRACTOR: S�?k�F/��� iENi�RJ°/1/S,�S CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
C.O. WYE (A)
C/0 (B)
DEPTH (C)
D
E
F
g z((o P v e AK-
to "or S DR 7 6 IM
(o o7, -{ 1
(o v, 7 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).
SHOW LAlLKAL LOUA IIUN, 5 IA I IUN, U IlLl I T UKUJJINUi) ANU UIMLINJIUIN ALL I LR IIIVGv L -N
FLOW LEFT
DOWNSTREAM
MH # 1 S�j2
LIST QUANTITIES FOR PAY ITEMS HERE:
L:Yip
GTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, UAI ANO
DEART V, ENT OF
� / VVA ER QUALITY
RIGHT UPSTREAM
MH #
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTa4BER 200E
C