HomeMy WebLinkAboutBLOOMFIELD ST 23...
Namee·Address
Service No.4-8 5:;
Loeation
Kind of Pipe Size Size of Main
xIt~NewService Location
Amount
/;7-/;OdJ .s
Date
·a-4 II~~_I'IX.
I2170
75 '75
lOc;4
108 P9
TotalAmountI[
13,175
5 on\.)
2 20
.25
(7~:.(;0
PiDe
11
i'
i
11
I'7'~1 05 il
'J ~"~oll
-~-jl
I,i,
Ii
I1.8 for,wat~r g,severLabor
Material
S1Jl'JDur /Jute
Tr~cking 75
15':{
55 6"Sev!er
10 4"Iron
~29 Rrs.Labor 0.55
Date
'e
·~h /'~,~3/31
'..:l
·eTOWNOFLEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE 0 L5 /./___..NO._
TheAi'dersigned applies or the construction of a particular sewer connecting No.,;;&--3 C~P.
Street i a hereby agrees to comply with the Rules and Regulations governing the construction and use or:Particular
Sewers,as no\\'or at any future time established by the Board of Selectmen.
~Am't.of Estimate $~/u:.c1~cr~__
Am't.Paid $_
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Sketch of Service Here
Connection made in Street.
Remarks:
Work completed _19
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