HomeMy WebLinkAboutBERNARD ST 30Name .Tohn An dersoD Service No.173
Address 30 Bl5rnfilrd St.
Lexington
Kind of Pipe Size
Location
Size of Main
Location
Date Material Amount Total Date Amount
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10/7/C:':l.T.~hkY'Ie::00 //J -/-~~//)~~.•r,~~/r51~--~_L/~~~/d~l()/R/C::~ILahbY'28 [10 //-d'?--1U ~2
i II 1-
,/\.-:z-J.Rn -q......:._..--1()%'L 38 h8 18overhead
C::6 r ...6"Sewer PiDe ,?~036 17 00~~>•
.1-6 I 1/8 Bend 1 2L!
Joiht Comoound 3 36
c:HIr>Town Shovel @e::00 2e::C,O
?H'r T1"ucktnQ"1 C;o
of,?A
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
Sevvers,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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Connection made in ..............................Street.Work completed "..............19..
Remarks: