HomeMy WebLinkAboutBERTWELL RD 61Name Service No.
Address 6J Be~twe]]Hosd
Lex i D?;tOJi,M-us.Location
Kind of Pipe Size Size of Main
COm.8-16-48 Location
Date Material Amount Total Date Amount
Truc1cino-
lOX:Overhead
ComDound
6"S wer P pe
c
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
Sewers,as now or at any future time established by the Board of Selectmen.
Arn't of estimate $".
Am't Paid $.
...................................Owner
Sketch of Service Here
I I !I I I I I I I I I 1 I I I
1 !I I I I I I I I 1 I I I I
1 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 II,I I I 1 I I i I I I I I I II
!1 !!1 I I I I I I I I I I
I I I 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 I I I I I I !I ! I,I j I
I ·1+~+1 I-~1 LL it I I I I I L I I I 1 1
I I I IIII
I I I I I !1 I I I I I I I
I ,.r 1-11 I I i 1 1 f --~l-~l-I I I ,i
Connection made in ...................."...".'....Street.Work completed . . . . . . . . . . . . . ...19..
Remarks: