HomeMy WebLinkAboutBERTWELL RD 8~Name Ravmond E.Pearl ~-Service No.21
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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
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4/0/fi2 T,abor 65 Ifig 65 69 rf -J J_f-2.--UJ J1 A ~:6.0/./....-~.o--n
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ffl (/t::.6 57 ~2F..;.J-/'7.-_/_-.-;7
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/..yt1 ~'L/40'-sewer p pe @ 42 13 68
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in;nt ~omnound 2 40
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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 )
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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
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Connection made in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _Street.Work completed . . . . . . . . . . . . . ...19..
Remarks: