HomeMy WebLinkAboutBLUEBERRY LN 6Name
Aclclress #6 Blueberry Lane
Location
.~
lhstalled by develope~
Service No.
Kind of Pipe Size Size of Main
Location
Date Material Amount Total Date Amount
Labor
TOWN OF LEXINCTON-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 $.
......•.•..•..••.....•..••••...•...OINner
Sketch of Service Here
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 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 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 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 IJ 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 I !I -I I==t=R=I
Connection made in .............•.......•.•......Street.Work completed ........•.......19..
Remarks: