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HomeMy WebLinkAboutBOW ST 92Name Address Antonio Mongiello 92 Bow st.,LeJd.ngton Location Service No.187 Kind of Pipe ~NewService Siseof Main Loca~ontJ...m,1/-)../-s-~- Date 10 16 55 Material Labor 10 Overhead 20'-6'"Sewer 10 x 3 3 hra.Littlefield 1 hr.trucking @. Amount 9 60 96 .50 Total 1 40 20 1 00 2 50 75 51 41 Date Amount HP-6411I' Labor "-""--------- 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. Arn't of estimate $. Arn't Paid $. ... .......•...... ..• •............. .. .. .. ....... .. .......... .. .. ....OAtner, Sketch of Service Here 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 I I I I I I I I I I I I I I I I I I 1 I \ I I I I 1 I I I 1 I I I I I I 1 I I I I I I I I 1 I I I \I I ,I I J I I I I 1 I I I I I---L I I ,I I I ,LJ I I I I I I I I I I I I I I I I I I I I ,I I I I III 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 1+I I IITTI I I I I I I I I I I I I I I I I Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.Work completed ........••.•....19.. Remarks: