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HomeMy WebLinkAboutLat_17830StripesDriveLoj PROJECT NAME: , /ZlIE60kn 14ILLS ?Hgjt PROJECT NO: frn'(Oas- PROPEV98,SOSS: 511Z) CES D A 1 V C DRAWING NO: , MAIN LOCATION: STREET/EASEMENT- GV D A TE. I N S TALLED: '7 Zavr t PROPERTY OWNER NAME: MH /"�7 TO MH PROPERTY OWNER .ADDRESS: MAIN STATION: SINGLE: tZ DOUBLE: CONTRACTOR: Sq EY- Flit -1D PV7-166-/012ISk S CONNECTION ® MH: SIZE & TYPE SIZE & TYPE INVERT ® DEPTH DROP TEE/WYE SERVICE PIPE C. 0. WYE (A) C/0 (B) DEPTH (C) D E F g(v P v t A�- "or s ba Z b w c- ( 0 0 0 .0% � oo, I �. S� 3��J 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 LUL A I IUN, S I A I IUN, U I ILI I T UKUJJINUt) ANU UIMLNJIUN ALL t -r -N I INLIN I lir-M-) FLOW 0 DOWNSTREAM MH#� LIST QUANTITIES FOR PAY ITEMS HERE: B Y: 'WASJWON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTY, MARYLAND 1 nE,pARTVENT OF /WATER QUALITY LEFT RIGHT UPSTREAM M H # CONTRACTOR'S REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET SEEPiEMEER ?nn4 i C-17 ?