HomeMy WebLinkAboutDEWEY RD 22Name
Address
"
Gerald ~_Sbj rJ ey
22 De",,"J2!L~Road
/e~#
<'
LocatioII
Service No.
Kind of Pipe Size
~.....ew Service J .;{.:'ucente Permit #31
Size of Main
Location
Date ..........aterial Amount Total Date Amount
I1JV 161L l.'5 6"Trar.l.site pine
.l..h"i "i7'6"Tra:n site Dine ins~alled b'
.Tohn D""'""'7"-;ne D","dt 11Do?
i
,
,
i,
"~II
.M.18501 I,
I
DA"'T"'E:_
TOWN OF LEXINGTON -BOARD OF PUBLIC WORK!::;
SEWER DIVISION
./Sketch of Service Here Z t
I I I I 1--I-II 1<1 I I 1 I I I I t\I I 1-I I I I I I , I ,--,-I.-,I
I I I I I I I I I I II'-1-1-'-'1 -I I I I I I
III11I11111 11IIII1 I-II I I I
f I I I I I I I I I I /I I , I I I I 1-'r I I
IIII1I11111 I1II i 11111'1--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 I I I I I I I I I I I II I I I I 1--\-
Connection made in Street.Work completed _•
Remarks:_ _ • .•.....................