HomeMy WebLinkAboutCHILDS RD 20Name
Address
Raeo Rea1tz Trust
20 ChUds RO!!d
Location ~.-/
Service No.
e--.y-...:r-r"
33
Kind of Pipe
~New Service
Size Size of Main
Location
Date.Material Amount Total Date Amount
-4-6-5&Labor :>;1 Fi~7-J/-,yr.v H.6'p ./,~~e---;-c::;i
10q{,nVA7"h"lad ;;7£;//~b:3 .15 34 .nA :r ---/,.J ~/--','£c~
.1/7750h"'l'T'$:ln·"l te Pine @.70 35 .00 s)'-9
1 11~O 'l'T'Rn,,1 +'A RFllr r'l Fi .Rn
2 irS.Town Shovel (c 6 50 13 .00
2 17""'l'T'1](~ld nO'tw...?f 1 .Fin
RQ QR
Labor .
.
H.B.M.IB501
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.
Arn't of estimate $.
Arn't Paid $.
..................................Owner
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed 19..