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HomeMy WebLinkAboutBERNARD ST 10Name Howard H.Dawes Service No.101 Kind of Pipe Address 10 Bernard St. Lexington Size Location Size 0*tida i n JROM~.lt~New Service Location Date I Material Amount !'Total II I AmountIiDate I i " 6/1C;/C;~!Lah'{)T'67120 !_-5--eoJ0L~-~,V/JbA,<~~/~,,!;.-?..::?,,-,'I 1 0% "II :~./j:-/h~~("/7/~/()vp.T'ho~n A 7?i 7":1..O?i 7-AJ 1~~TU 46 I L.6 11 42 ;!l~71 ./'--',-- Sewer Pipe @.i i ///1 1'/e;- "i1R!!/'1_611 Elbow !1 ;?:7[,,I.Tn in+-(;Inn i tn1r-'I r.r. I ', ')T..:r~fT1~•••,en,~••~,:,r"nn !! J .~..-"~~~'~/~~~/V~I ?HT''T'~"....lr~.,..,,,,@ 7c:'1 en ,, i ~ I Ii 11 n 70 , I , iI; I I I I ,,i I ;I ,,,, !:I iLaboriII ! I I !i {5:L:f.! I !7:25-~~-----+--, I i ! I ii I IHP-9694 I ! 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 no'\N 0 r a-t-any future time established by the Board of Selectmen. Am't of estirna~e $.-. .......~ Am't Paid $.....--.-........ ..................................Owner Sketch of Service Here. I I I I I I I I 1 I I I I I 1 I I I I I 1 I I I 1 I I 1 I 1 I I I 1 I I I I I 1 1 1 I I I I I I I I I I I I I I 1 1 1 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 JIIII1I1II I I 1 I I I I 1 I I I I 1 I 1 I I I I I I I 1 I I I I •f I 1 1 1 I I I I I I I 1 I II I I I I I 1 1 1 I 1 1 1 I I I I I I I I I I I I I II1IIIII1 1 I 1 1 1 I I I I I I I I I I I I I I I I I l +l -l Ji +++··i +·1·++~1++l I ++i I Ii +++I ~I I I I 1 I I I I I I I I I 1 1 I I I I I I I I I I I I I I I I I Connection made in _- . ............................Street.Work completed.................19.. Remarks: