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HomeMy WebLinkAboutBERTWELL RD 12Name M!"s.Chapman Service No.J Address 12 Bert.e]1 RmH~ LexinQ't on.Mass.Location Kind of Pipe Size Size of Main ~NewService Location Amount 45 50 50 117 Total 45 50 5b 117 AmountMaterial 10%Overhead !'" '48 Labor 17 Date " Aug.16 I Date t--------,---+-----------J------r----H-----r----I-l-,.----Ud /9 'L/J 48'-6"Sewer Pip-!'@ .26 12 ~8 Joint Compound I 2 88 1 hl"Trucking 75 121 35 /'v7//7/i '/ Labor 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 Sevvers,as noW'or aT any future time established by the Board of Selectmen. Arn't of estimate $.._. Arn't Paid $_. ................,..................Owner - Sketch of Service Here I I 1 I 1 I I I 1 I 1 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 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 1 I I I I I I I \I I I I I I I I 1 1 1 I I I I I I 1 1 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 1 I I I i I I I I I I I I I I I,I 1 1 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 \t -t--j t --I I f 1 f j t-t j 11 ++---~.-1---1 t 11 f --j1+-j..~--1 ++-~- 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 IIIi Connection made in . . . . . . . . . ... . . . . . . . . . . . . . . . ...Street.Work completed •.. . . . . . . . . . . ...19.. Remarks: --