HomeMy WebLinkAboutDEXTER RD 33Name Cal v-er-t Cox Service No.(...L
Address ":l")TJ...o!::lIo.+l::t."'P'1 "R1""'\C1 rI-I~---~~-"""'''''''''..............
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Kind of Pipe Size Size of Main
LocationCom.11-14-49Rlej(M~J(i/iieJiili..K-XNew Service ,,
Date Material Amount Total Date Amount
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.~,C};d //(e-,L~/;~f1noLn...r .....,.,h.,ar1 ),10 'L/Cj //"./
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.Tn -i ......-1-ComnOllnr'l 2 76
T.~++-.,=f";",1 r1 Sh",,,,,,h "h,.,i'l (0).7 no ?R nn
Truck:iTIQ'2 hrs.@ .7S 1 50
Patchi:ng 13 ~_'-l 13 00 -"- - -
~-/9-77 tre,ve wa I 103 149
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Labor
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TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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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 1 I 1 I I I I I ""I I I I I
I I I 1 I I 1 I I I I I I I I I I
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" ""111111 I 1111111111 I I'I I I I I I-I I-I-I1-II II -I I I I I I I I I I
I I I I II 1-1-1-1 I I-I 1-1-1-1 1-1-1-1-1
-I-III II 11111 1111111I11 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
fill I I I II I I 1 I I I I I I I I I I I I I1-1-1-1-1-I I-II I I I I fl I-I I II I I I I
I I I I I 1 I 1-1-1-1--1-1 II -I-I I-III I I I I
,'"I I I I I 1 I I I I I I I I I I I I I I
Connection made in ...... . . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed ••_ • • • • • . . . . • ••.19 ••