HomeMy WebLinkAboutBLAKE RD 123"
Name HQ~~rd-P0tter£on Service No.
Address,'33 -Bl 'ike ~Eo··d ----:=L..,..,
Lexington ,ill .55.Location 122,Bl~ke Rosd
Kind of Pipe
~New ·Service
Size of Main
Location
Date Material Amount Total Date Amount
63'-6"Sewer P pe ~.26 16
Hirea Shovel 3~Irs.@ .00 24
1 -6 11 1/8 Bend 1
3
1
3
34
85
34 72
Trucking ;2 llT5.'.75
Joint Compound
lOOS Overhe&Q
ct.~O '4 L~bor
Labor
HP-6411
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.
Am't of estimate $.
Am't Paid $.
....•••.........., . . . . . . . . . . . . . . ...Owner
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Connection made in Street.
Remarks:
Work completed 19..