HomeMy WebLinkAboutDANE RD 23Name Dom~Saia
Address 23 Dane Road
Lot 203 Loeation
Serviee No.46
Kind of Pipe Size Size of Main
~~ewServiee Loeation U
Date Material Amount Total Date Amount
_~O-59 I I Labor I 22.0..4
10%O.H.I 2.21
30'16"Transite pipe!@.70
1 I l~~~Transite be
1 I hr.Trucking
Labor
o
~~:<Ic'"&~
c231?c:
,;:7/1.2£:
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
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed 19..