HomeMy WebLinkAboutCALVIN ST 24Name T,fin 1'l,l'll'"rill _Service No.l6B
2h~alvin SLAddress---
(195u(-.,-..,.....
Location
Location
Size of Main
COM.1-31-55
Size--------=Kind of Pipe
.:R4~~~New Service-
-
Date Material Amount Total Date Amount
~~
1/4-/5 c abor 08 11 //-)~~-<//if>"r"/x,rY /_"'7•..,-~
0%overhean Q Rl 1 n7 01,/-'</-",-,S;/;~;/9~2-//,
5li '-6"sewer D1 IDe (CJ •iP l7 ;:>R ?"~/"'-~,.£2.'4//'7 IfJ'
/"7-?/
~-
ioint compound i ::>h 'J/
/
1 hrs.town ~h()VF'llalc;',nn 1 c:nn
I ;:>h ....."+-...ll ,..1r1,...Cl'fa 7c;'1 c;'O
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1 )I}I Qh
Labor "/,r ~k-,,1/~.,;',--
U'O·6411
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .NO .
fhe 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..