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Sewer Service Tie Sheet - Record 74 SELL & MADS ON, INC. . gineers & Surveyors Service No. 74 Chtrmhers-e , Minnesota Sewer Project No. 7177-&. 0 Street Reif 620(.._i P-. No. '3%Cfp Part Sheet No. 7 Between CO Re/ 1c Street and .'A-MK/ , ?d. Street Lot No. / or Parcel No. Addition CSC li Downstream Manhole No,. 2 §-10 Sta. of Service at C.L. of Sewer . 31'"‘(0 Elevation at C.L. of Lateral Sewer Top of Foundation Elev.= Depth of Basement= Clean out Elev.= Distance from C.L. to Clean-out % of Grade: Clean out to Main Type of Wye (A or B) 4 Type of Riser (PVC,CIP, or ABS) )C - i Length of Service . 4 - / -7Depth at Property Line // Contractor -vol'yr -v, -- ix. en'8 Foreman gac ke`' Tf ied by PS i, // Date //moi �. �` ,,// Tie-in J .....✓ice.. z., ./.,< \ -, ,-^ 7 `ti)' 0 L-..--------------..- 06. 1P/"N 9k frAeLC) t LIIAll I . , ----1/4..1.\ (Indicate North by Arrowhead) c;;,- Sewer service location and depth certified correct. �,, > I Contractpors By 4.—=>4�r3.:t """.,..,• c..tForeman Date -l f.. 2 --' "r t/ I