HomeMy WebLinkAboutBERTWELL RD 21Name Ennna Zitso Service No.
Address 21 Be~twell Road
location 21 Bertwell Road,
Kind of Pipe Size Size 0"Main
ap;Jt,.Y~New Service Com .!l~~Location
Date Material Amount Total Date Amount
.Tnl-rr 11 149 LabnJ'l 49 83 49 R3 ~.,."'-1.('l'lSQ'1\\..._.a·6-~1)/A-t"\o-t
10%Overhead 4 98 Wei //{7 I-~./1//
64 t -6"Sewer Pipe @.26 p 16 96 /0///
-.--.
Joint Cnl'l'lT'\n.,nn :3 84
Ll ttlefield ShOVE 1 2 hrs @7.~O 14 00
Trucking 2 bra.@.75 1 50
Patching 10 x :3 10 00
101 11
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Labor
:J::rp'-7919
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE __.., .NO .
The undersigned applies for the construction of a particular sewer connecting No .
St"reet and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
SeW"ers.as now or a ~any future time established by the Board of Selectmen.
Arn't of estimate $.
ArYl't Paid $.. . . . ._. .......
...................................O-Nner
Sketch of Service Here
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Connection made in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.Work completed .............."19..
Remarks: