6175 Deer RidgeINUM
El
SEWER, WATER OR COi4BINATION SZRVICZ -FOP_K! (CIRCLE ONE)
Mun icipal ity Q-4ANHASSEN se:-✓ice No.
Sheet No.
> " ale
House No.
Lot Block Parcel No.
t,
Add- lc ... Dee, I
a _ :
Foreman ct
j
Tied by Date
Location and dept.'s of services certified by
Date
NOTE: Service ties shall be swing ties to permanent structures such as building
corners, valve boxes, manholes, catch basins, hydrants, err- Ties to trees,
power-poles, property corners, telephone or utility boxes will not be ac=pted.
U
CITY OF
;77
C
REVISED 2-93
DATE 1
— 9
1 2 %.1
PLATE NO.
3
19
Dc man�cle No. 2
1+71
Sta. at P.L. 0cwnstrean Manhole
Ele a C.:.- of Sewer Main
Tor =__evat;.cn Dept of Basement
Da=zft cf claan-Cut Clean Eleva7:_
D istant=_ . Sewer Main to Clean - Out
of Grade far Service to be Installed
if c=a-:!a service)
Lengz!-i, size and ty-e of service pipe
De=th at P.L L j7p fc I(-
WA :
[.1zwnst=ea Planhcle No. 2
Sta. at P.L. f===*Dcwnst=ean Manhole 1+74
Length, size and type of service p � M
Depth at P.L
C ,
oenctas sewer service end
Denotes water service end
4-
Foreman ct
j
Tied by Date
Location and dept.'s of services certified by
Date
NOTE: Service ties shall be swing ties to permanent structures such as building
corners, valve boxes, manholes, catch basins, hydrants, err- Ties to trees,
power-poles, property corners, telephone or utility boxes will not be ac=pted.
U
CITY OF
;77
C
REVISED 2-93
DATE 1
— 9
1 2 %.1
PLATE NO.
3
19