HomeMy WebLinkAboutDEE RD 11Name
Address
John Patch
11 Dee Road ..Service No.12
Location 11 Dee Road
Kind of Pipe Size Size of Main
.x.up~YJ~*~XNew Service -~/~-d-~J'A-/Location
Date Material Amount Total Date Amount
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f -6 ft Sewer -.L,..,,.,
6"-1/8
Labor
10'%Overhead
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4--176
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
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $., .
..... .. .. .. ............-
use of ParticuIa r
Am't Paid $.
~..........Owner
Sketch of Service Here
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Connection made in ..,Street.Work completed ..••••.•........
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