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TEE YE
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C. 0. WYE (A)
DEPTH
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MAIN LOCATION: STREET/EASEMENT G0 1
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DRAWING NO:
DATE. INSTALLED:if
PROPERTY OWNER NAME:
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PROPERTY OWNER .ADDRESS:
MAIN STATION:
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SINGLE:
DOUBLE:
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SIZE & TYPE
TEE YE
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SIZE & TYPE
SERVICE PIPE
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C. 0. WYE (A)
DEPTH
C/0 (B)
DROP
DEPTH (C)
D
E
F
SHUW DMLKAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
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).
FLOW
Q-f3c,.�i9'
DOWNSTREAM
MH #A24:2
LIST QUANTITIES FOR PAY ITEMS HERE:
'ASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
4ft*I
DEPARTVENT OF
/WATER QUALITY
LEFT
RIGHT UPSTREAM
MH#/Sys
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTF-OBER 200= IC -1 ?
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