HomeMy WebLinkAboutBLUEBERRY LN 8Name
Address #8 Blueb8:rry Lane
Sei"vlee tnat~11ed by the developei'"
Service No.
Location .
,".~.~"'J '.,,
Kind of Pipe Sise Siseof Main
:b~5~NewService Location
Date Material Amount Total Date Amount
"
"
Labor
I
HP-6411r 1111__'11,",
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
Sketch of Service Here
I 1 I I I 1 l-.U 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 I 1 I 1 \ 1 1 1 1 I I I .
I I I I , I I I I I I I I
\ I I I I I \ 1 1 \ 1 1 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 1 I I I \1 I I 1 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
1 I I I 1 I I 1 I I I 1 I I I I 1 I I 1 I 1 I I
1IIInli I I r 1 Hil I I I 1 1-I 1 F-
Connection made in............•........••..•..'..Street.
Remarks:
Work completed .........•......19.•