HomeMy WebLinkAboutBASKIN RD 4Name
Addre••
Mark Moore
4 Baskin Road
Service No.2$
,
Location C!o??7P2 t ~.;L-u-$
Kind of Pipe Size Size of Main
Repai....-R....ew••New Service Location
Date Material Amount Total Date Amount
0-
3/12/1 8 ~abor 31 12 0.3-/0-[5-g-~)L,b~'#~o CJ----r)-itILO;t ov~rhead 3 10 34 122 "-/§-r%1&~A d p.j?.Jv~.{!/7 9u;-,/X"/,••
39'6"Transite pi]e @ .7C 27 130 /v ;•./#~7"-
1 -lItO Transite El DOW 2 ~4 C,-/o-cJt?~r~~/9 O~
22*0 12!J.;$.?7
"-I -Transite El ow 2 6 p,
3 h ros.Town Shovel @ 6.$0 19 50
I 2 h "'s.Trucking @ .71"-'1 ~O
87 po
ubor
~-F·rp_#/1,)'!'-8·>/,·/,~..~.__f r
~.8.1'1.18501
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
Sewer::.,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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I I I I I f I I I I I I I I I I I I I 1 I I I I IrT---r-T I r It t t t t I t I t tt ~+I 4-I 11 .
I I I I 1 I 1 I I ,I I I I 1 I I I I I I I I 1 I ,
Connection made in ...............................Street.Work completed .................19..
Remarks: