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HomeMy WebLinkAboutDANE RD 10Name Louis Ciampa Service No.225 Address #./Q DA IoJ £,.,~ Location J...OT JJ<2/0 Location L ~~yy,,j--~I -s<{ Sin of MainKindofPipe ){~~~j1-New Service ..--- Date Material Amount Total Date Amount JI_~_~O ''T,,,hC"ll"16 01 )1 '2£',,;\-I~"1:>'<',V .?2 /f'{.~- -' 1 ;10/o.H 1 60 17 h.)~",;;7 -f'7 Ji-l////N /3 ~n ,IS"rr...."""~t-,p P-indii',7Q__3r::on ~c::nn £,-5-Y /3' ?1'1',..."'1'...."('.k-~nO-0)"rr::1 C::O 1 C::n NON nH AR r,.'R r:;h n r::J,1 ':\),_':\_C:o Ir,AhC"lT'':\6 no ?l ,6"Transite Piner@ 70 1.!I 70 ),HT''''l'ovvn ShovelGic .sO 26 00 1 Hr.Truckina ~i.OC i 00 1 Br.Rodgers Trail r 3 00 ?IS "lI:"J PAt:t'"'.h ?r.nn - .100 iO Labor r/-"....~;..-:~•f-"'" P-6411 '..~,,~"":~.~,,....~"'1''n 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 I I I I I I I I I I I I I 1 I I I I I I I I-I 1-1-1-)--\-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 II I , I I I , I I I I I I I I I I I I I I I I I I I I II 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 II I I I I I I II 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 II I I I I 11111111111111 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 I IIT'""L I I I I I I I I I I I I I I I I I I I I II I I I I II I I I I I I I I I I I I I I I I I I I II I I I I I I I I I I II I I I I I I I I II I II I I I I II I I II I I I I I I I I I-I,-I II I I II I I I I I I I 111111111111111 ++1 +j 11 if I I f ttifttttf fl~tt Connection made in ..............................Street.Work completed .... . . . . . . . . . ...19 .. Remarks: