HomeMy WebLinkAboutANGIER RD 11Name 2el~j&mill.ii'r,'lnklLl Hones,J..nc."5"Service No.if ':.-.
Address 11 An~ier R.oad
Lot #25 Sta.7+13 Location
Kind of Pipe Size Size of Main
~NewService WO #7241 Location
Date Material Amount Total Date Amount
/2 b'/
//;k'"x/
I
f:-I -<-(.!J
Tl10
21 no
2 11010%G.H.
LaborS-2L-h2
1 hr.Trucking @3 .00 '1 00
BILL T.fI-IEIJ CONI-JECTED
62 6l!'l'ransite
6 09
.i:-'ipe CiJ.'(8
66 08/
f':'3(-Lt-"')--'
II 00
1 hr.'i'ruclti :.(',g~3.C0 J 00
Labor
Ii
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.
Arn't of estimate $ .
Amtt Paid $ , .
.Owner
Sketch of Service He,.
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Connection made In :Street.
Remarks:
Work completed 19..\