HomeMy WebLinkAboutCEDAR ST VAC LOTName
Address #-----
Kind of Pipe
Vac.Lof C BC.CNSS Sf From ~/73
Location
Service No.
Size of Main
Repair-Renewal-New Service Location
-
Date Material Amount Total Date Amount
.
i
Labor
HP-6411
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
If'fJ/'I;:.S1"lJJ.
I I I I I I I I I I I ,.c I I I I I I I IA1-I~J,J .1 ..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
.,......V'I I I I I I I I irl I I I I I
I I I I I I I I I I l!1~I I I I I 1111111111111
I I I t I J 1 L.J It I..I I I I I I t I I I I I I I I I I I I \
IMIH.l51 r "I I I'T'I Iclh~IMJ/-A-81.S"1 I I I I I I I I I ~
I 1 I I~t'",I I I I I I I I I I Is'IJI.,~l I "J I I I I I I I I I ~
I I I I I I I I I I I I I I 1810..:'"I"1'l6'-l I I I I I I I I
I I I I II 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
111111111111111111111 ~~'7.J..I I I I I 1 I I
I I I I I 1 I I I I I I r I 1 I 1'1'11'r l I I I I I II I I I
"'.4B
4"
Connection made in .......................•......Stree~
Remarks:
Work completed 19 ..