HomeMy WebLinkAboutBERTWELL RD 75f,.
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Date Material Amount Total I Date Amount
.Tl17lA 11 ' )1f Labor lh Ion \L.c '.¥J-rvo/.J~.~.J./?d-OQ
12 87 17 lOU 07 ~LU ,;((;,-'if jdF.I L /",-.~.7
1 ()~'t Ovel"head 10 41 cJ j!//-.n ~;.
~..------81'-611 Spwer Pi -@.26 21 sa ,be
18
,
11 -6 T1 y 1 i
Joint Compound S OL!I
Lit tlefi eld Shaven.2 hrs 2-.00 1)1 100
IT,r"\!:lr1A7>l hY'-<:l @ '{nn i 00
TT'llCkinQ'2 hrs.C:y .7C;1 Iso I
1 rln 17A
--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
Sew-ers,as now or a to any future time established by the Board of Selectmen.
Am't of estimate $.
Arn't Paid $.•
....................,Owner
Sketch of Service Here
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Connection made in . . . . . .-'....................."Street.Work completed ...... . . . . . . . ...t 9 ..
Remarks:
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The layout and location of this sewer service
connection is in accordance with my request and
instructions to the Department of Public Works for
the Town of Lexington.
.-.......-
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I appreciate that there are changes in alignment
of pipe underground without accessible cleanouts,and
I further assume all responsibility and any costs that
may be involved due to stoppages.
75 Bertwell Rd.,Lexington,~as
Address
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