HomeMy WebLinkAboutBERNARD ST 19Name John LA Meurer Serv'".c:::~No.162
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Location
Kind of Pipe Size Size of ~...".i ...
).)Wl(~-NewService emil.11-9-53 Locatio...
Date Material Amount Total I Date Amount,.~
In/?/:=,~.71,0 hi"'\T>7'!J IFO '7-jj::,l'Jif '~Lc-/yf~£?.~-~r (~--A!kL~/"7"Ins(1r'1 7 36 8C 96 //-0-\?U 9
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~t4 ,_6"gewer nine @ .3m 6 IE 39 //7 Ib"
~24 ,//"oint compound
':z:hrs.town shovel @ 5.00 It 001v
2 hrs.trucking (8 .75 .,501""----
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Labor
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..!;IP-7919 ---
DATE __
-YOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
NO.,.
The undersignec:J C3 pplies for the construction of a particular sewer connecting No .
St-reet and hereby ag r-~es to comply with the Ru!es and Regulations governing the construction and use of Particular
Se\Ners,as now or at"C3 ny future time established by the Board of Selectmen.
A,rn't of estimate $ _ _
Arn't Paid $....._ _
........................."Owner
Sketch of Service Here
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Connection made i r'l -_.........................."Street.Work completed .............."19..
Remarks: