HomeMy WebLinkAboutCHILDS RD 10Name Milton Choate Service No.181
Address 10 Chj J rig Boad
Location
Location
Size of Main
.-~
~J./;Y./9-s-'""-
Kind of Pipe
.!Re}!io1i~New Service.--.
Date Material Amount Total Date Amount
~
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/;;;:'££/Yj de -I #9'/7%101 OVPT'hpRn 1 c;?lh Ih'7 /;;z.-;9-",.E
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1 r r.truclrinr:r 17~
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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
Sketc:h of Servic:e Here
I I I U 111I111I1111111 I I I I 11111
I I I I I I I 1 I I I I I I I I II I I I I I I I II 1 I
11111111111111111111 I I.,LI I I II I
11111111111111111111 1 I I I I II 1 1
11111111111111111111 I I I I I I II I
11111111111111111111 I 1 I I II II I
11111111111111111111 I I I I I I I II
11111111111111111111 I I I I IU~11111111111111111111 I I 1 I I I II I
11111111111111111111 I I I I I II I II I
t t j I-tii I t tl t+I++t +++tt I -I -11+++++1-1
111111111111111111111111111111111
Connection made in Street.
Remarks:
Work completed . . . . . . . . . . . . . ...J9 ..