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Select Fitting Command
on the Place toolbar to display a list of available fittings.
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Select Fitting Cross.
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Select the section of pipe in which to place the fitting cross.
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When placing a fitting cross, as well as any 3-way components, right-click the mouse to cycle through the available orientations for an end (marked in red on the cursor).
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While placing a fitting cross, as well as any 3-way component at the end of a pipe, you can press SHIFT to change the connecting end of the component.