HomeMy WebLinkAboutBLUEBERRY LN 17~.:r "Service tnst~11ed by develope~
Name -Service No.
Address H17 Blueberry Lane
Location
!
Kind of PJpe Sise Size of Main
It.•.,r•••••New Service Location
Date Material Amount Total Date Amount
~
....
-Labor
.
HP-64l1
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .....•..•..•••••••••••••NO.•.••.•••.
The undersigned applies for the construction of a particufar 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
Sketch of Service Here
-t--;----;-;-+l~_Ir--+--t-+_+_+-+--+-ilc---+-l-;-1-f-l-fl_+_-+--+-t-+--+-LJ I I L H-I I I I I I I I I I I I I II;-;--1-:-;--;--;---;--;-.;--+-,-+-1-+I-+I~,-;--T--+-~-I:--;-I---l I I 1 1 1
1 I I I I I !1J I I I I I I
I I I I I 1 I I I I I I I I I I 1
-;-......;---;-;---;-1-+--+-+I---!l-;.-l+-1--+---;--+-;---;-1-+-1-+'-+I---!l-;--+--+~~I L I I I !I II I 1 I I I I 1 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 1
I I I', I I I J I I I 1 I I I I I I I
l I I I I I I I I " I I I I I I I ~I I
Connection made in ............••..••............Street.
Remarks:
Work completed ....••..........19..