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HomeMy WebLinkAboutBERTWELL RD 100Location Size o~MainSize [:-N_a_m_e__!LLIo!>.LUh..LJnL......l.C~.~K:Jec..Jbu.OUJ:l.e s_e_rv_i_c_e__N_o_o c _/,_"_"'_ {.Address 1 00 Hertwell Road I I Date Material Amount.Total I Date I Amount I 6.t li8 Labor lR 7-0 '/Z~A 4 --vP ~.J._~//Ot1LOct.(7(1 7 I'h2 Ar 77 ~.~!J/'j-~~...l ..0<1/9'07 11 nt O~TA....hASlrl C 08 /o.g '/C? -,_._-in?1 -6"Sewer Pibe @.26 11:1? I .Tr'I~rd-.(',.,7?1. I;::;hf"lvwl 2 hrs.@ fl.OO lL 00 75 I TruckinQ'2 hrs.{@ ~()I lO~19 I - I I ~Labor HP-7919 I f -=L~e~,~x.=:i~n~g~t~o~n~J~M~a~s~s:...!..Lo_c_a_ti_o_n l=..;:=:O~O:-.::B~e~r=-.:t~w::..:e~l=-=-l~R~o:..:::a::.::d~_ 1============================================= E Kind of Pipet,~_I B'efWl-X-m~-X-New Service 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 a~any future time established by the Board of Selectmen. Am't of estimate $. Am't Paid $. ."DINner Sketch of Service Here I I I I I I 1 I I I I ,!1 I !I I I I I I 1 I I 1 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 1 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 IIIII I I I I I I [I I I I I I I I I I I ,I , ,II I I ,I I I I I I I I I I I I I I \I I I I I ,\.1 J I J 1 ,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 11 I T r t1 j I 1 I 11 +,1 1-+11 ..~I Connection made in • . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street.Work completed .............."19.. Remarks: