HomeMy WebLinkAboutBEDFORD ST 449J L_o_c_at_io_n _
1 K_in_d_of_p~iP_e Si_z_e S_iz_e_of__M_3i_n _
I ~__rk*_·_R~N_e_w_Se_rv_i_c_e__C==_0"_'.~=!l~.-L.-5_---'-q_-.LS.LS L_o_ca_t_io__n _
I,Name Service No.22RalphJ.Frissore1---A-dd-r-e-ss-~04c.:::,C=9="::":E::'-e"':::d~f-o--=-r--=-d~s:.c:t~r~e~e~t------------------------------=-==-----
AmountDateTotalMaterial
overhead
["L I -b"se'Ner
I \
Labor
-++-------I------+----If----+--~-+-___t_----~-_+___---l
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 $..........
Am't Paid $................
..................................Owner
Sketch of Service Here,l I I I I I I I I I I I I I I I
I I I I I I 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 I I
I I , ,I I I ,I I I I I I I ,I
I I I I I I I I
,I I I I ,I ,I
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 1
!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 1 I ,I ,I !,!~L il!I L ,
,I ! I
,I ,I I 1 I I ,,,I I,I I ,I I l I r···rl 1 I r t 1 I ,f I ··1+~Ll
Connection made in ........................*.......Street.Work completed.................19..
Remarks: