HomeMy WebLinkAboutADAMS ST 91Name Calvin Belbin Service No.177
Address 91 Adams Street
Location
Kind of Pipe Size Size of Main
Ri~-New Service COM.10-31-55 Location
Date Material Amount Total Date Amount
town shovel @ .00
12 18
121 80
72
27 08
75
It
-6xb Y
L bor
Labor
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ......................•.NO .
The undersigned applies for the construction of a particular sewer connecting No .
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed ...,............19..