HomeMy WebLinkAboutBURLINGTON ST 16Name Goldie Powell Service No.
Address on Street
Lexin Mass.Location 16 Burlington Street
K'd f P'In 0 Ipe Size Size of Main
~K*-~NewService Com J..ne 27 lQJ.g Location
I Date Material Amount.Total Date Amount,
-"IE..I~/-~.IMl'lv 11 'LLQ Labor 14 _fUL ->J1tL-A ~s V<t /?i-p(.l----\.la..,QVL~./,.I~JllnA 1 i liQ "42 76 tJ ylj 1'../'?c---
.Tn,..,....,",0 "18 61 7t5 99 (}t7 //,J c.-/
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10%OVl"ll"head 7 60
82'-6'1 Sewer Pipe @.27 22 J,lL 1--
.1 -6"Elbow 1 49 ,
Joint Comnound h 92
''f'T'llnkinQ'2 hl"s iii .7 c::1 t:;0
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~Labor
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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
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Connection made in Street.
Remarks:
Work completed ...... . . . . . . . ...19..
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