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HomeMy WebLinkAboutBERTWELL RD 8~Name Ravmond E.Pearl ~-Service No.21 j Address R T">11 RfH:1 r'l TL>""'",~~""~_Location--0 Kind of Pipe COrl·i.4-28-52 Size Size of Main ~~-NewService Location Date Material Amount.Total Date Amount - 4/0/fi2 T,abor 65 Ifig 65 69 rf -J J_f-2.--UJ J1 A ~:6.0/./....-~.o--n lO~S nverhead ./~;/ ffl (/t::.6 57 ~2F..;.J-/'7.-_/_-.-;7 6".~ ,/ /..yt1 ~'L/40'-sewer p pe @ 42 13 68 / in;nt ~omnound 2 40 I fi hY'!'l littlefie d ShOVE 1 @ 7.35 00 I -, 2 hrs.trucking 1 50 i ns:lt:...~h~nO'1 h Y :z,16 100 I.~ 140 84 ) I I ~-Labor I /~<.-. I t./J.CJt7('BIb"~£;p ~"."J ;J?;I uP ~ IJ"iL Ii(.II-j-.d-1 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 Se\Ners,as now or at-any future time established by the Board of Selectmen. Am't of estimate $. Am't Paid $.". ., "Owner Sketch of Service Here 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 I1 I I I I J I I 1 I I I I I I -I I I I !!I I I I 1 1 I I I I I I 1 I I IiI 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 1 !I ,I I I !III, I I \I I I \I J 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 JI,I I I 1 I I I I I I I I I I I I I I I ,,II !I [I I I I I I I I I I I I I I I I I I I I I f t 1 I ~I I,-I !I J I J ~I I I I !I I I I !I-, J I I I I I I I I I I I I I T I I _ott j I t-j--tIi Connection made in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _Street.Work completed . . . . . . . . . . . . . ...19.. Remarks: