HomeMy WebLinkAboutBERTWELL RD 112Name Samuel Gazan Service No.
Address 112 Bertwel1 Road
Lexington,Mass.Location 112 Bertwell Roo.d
Kind of Pipe Size Size of ""a in
~~K-NewService Location
Date Material Amount Total Date Amount
10'16 Overhead
u61 -6 11 Sewer Pi1pe @.26S
1 -611 Elbow
.T,..,~rt t-r.ornnOllnrl
Lit.t.ll"!f'iAln Shovell h-k-hr ,(fiJ?00
?68
12 19
1 52
?76
1,1C:O
1 ~O
78 99
/0000
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Labor
HP-7919
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 now or a1:"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.
Remarks:
Work completed •...............19..