HomeMy WebLinkAboutCHERRY ST 5•,Name
Address oS C h eo yo V""j
Service No•
$T".,-ee..T
Loeatiol1 JCA'e-r'7 c.?hee/
Date
Kind of Pipe
Repair-Renewal-New Service
Material Amount
Size
Total Date
Size of Main
Location
Amount
3-//..14-2.
i-Zl0 II s ~we r 1'/pe
•"£~""..~-,1-1
"~'C:
H
--i~It
>..!l-,~~
:I1
Labor
-.
5<7·6 /)11f'1~g (6d-
1f5/Up ~I tJ11f
~rtt--f+
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO._
The undersigned applies for the construction of a particular sewer connecting No.'£~"v d
Street and hereby agrees to comply with the Rules and Regulations governing the construction and{W of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
",'~~--,.....or _
•
Am't.of Estimate $
Am't.Paid $
___________________Owner
Sketch of Service Here 6:
I I~11-,G,2;;:;?~
--Jt 'l=;:::r-1"+-l-
.'~
r IL II-J~.L...~,l3 .(.(..'I',,1/V........-.---I ----.-.
de in Street.Work completed
Remarks.
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