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HomeMy WebLinkAboutBERWICK RD 5NameBertha~utch1n80n Servic:~No. Address Road Lexln Kind of Pipe Mass. a 14,1948 Location Size Size of ""'ain Repair-Renewal-New Service Locatio... Date Material Amount Total Date Amount Pi a @ .26 d Shove 2 bra. adar 1 hr @ 3.0 2 hrs.@ 75 19 x :3 Labor HP-7919 55 12 5 51 11 44 2 64 14 00 I 3 00 1 50 TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE ........•.__ _, " .NO . The undersigned a pplies for the construction of a particular sewer connecting No . Street and hereby a g r e e 5 to compIy with the Ru Ies and Reg u1ations governing the const ruction and use of Pa rticular Sewers,as now or a"t"a ny future time established by the Board of Selectmen. Am't of estimate $ _ _ . . . Am't Paid $.. . . . . _ _ _ . . ,Owner Sketch of Service Here I I I I I I I I I 1 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 1 I I I I I I I I I I I I Ii I I I I I I I 1 I 1 1 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 I II I t 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 I I I I I I I !I I I 1 I I I I 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 1 Ii I I I I I I I 1 I !I I I I I I I I I 1 I I I I I I I Ii t t l t I -11 I 1 +-1 -++fj f f-l-I -1 l _L 111-1 I l J Connection made i ,.,_ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.Work completed .........•...,.,19.. Remarks: