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HomeMy WebLinkAboutCHASE AVE 31Service No. Location Size of MainSize Com.El-16-hB J L9 x in;;'t on.Mas s.Location J,l Chas",\VP,UlWII8 ~Kind of Pipe \jfi~lG!ft'ewaK,---New Service -.-, Date Material Amount.Total Date Amount .-lL,Ju '1'4,;~j~.bI.T"l v 17 'he Labor 17 ~':\7 Jill /-.-r Od--?7);~.L _b~',-r1 ':\7h 2£.\;1 .::<("lQ2LDverhead _..... ,6'-6"Sewer!'i DeC>.2 b 0 ,6 6"-9-=-_.(;,y /flo .T n~,.,t-r;nmnOllnn 2 16 6.5 lTe.pa j r 7.0014 1 la'~1/Sa Wer --PI~.~tlefield Sh9~~2 hr •:2 00 •I 1',..,,,('1<"in9'?hrs.i-;.7r:',1 SO ':I hM 20 .------f-. -Labor HP-7919 . I t~ame ,Tobn p.Heaney 11'Address }1 Chase Avenue ---------- ..: 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 Sket~h of Servi~e Here I I I I I I 1 I I 1 I I 1 I I I 1 I 1 1 I I I 1 ,1-,'-I~I~Ill-l 1 I , I I II I I 1 I I I I I I 1 I I I I I I I 1 I I I I I I I 1 1 1111111111111111111111111111111111 I I I II 1 I 1 I I I I 1 I I 1 I I I I I 1 I I I I I I I I II I I 1111111111111111111111111111111111 1 I 1 I 1 1 I I I I [ I I I 1 I I I I I I I I I I II II I I I I I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIL I I 1 I I I I I I I t I I I I 1 I I I I I I I I I II I I I I II 1 1/11111111111111111111111111111111 II 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 II I 1 I I !T r 1 1-11 t full II f\lll~·~LL L 1 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 1 I I 1 1 I I r Connection made in ..............................Street.Work completed ................19.. Remarks: