HomeMy WebLinkAboutBALLARD TERR 9Name
Address 9 Ballard Terrace
Service No.
Location
Kind of Pipe Size Size of Main
~~NewService Location
Date Material Amount Total Date Amount
nA~.19c:;Z 56'-IlJSTALLED E"DEi·/~L'-PER
I
I
Labor
HP-7919
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
I I
I I
I I
I I
I !
I I
I I
I I
I I
I I
I 1
i I
I I i
I I I
I I ! ]
I ()I I I I I
I !,
I I
Connection made in _Street.
Remarks:
Work completed ,19..