HomeMy WebLinkAboutDEXTER RD 7Name Alvin _F'Ernard Service No.
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Address 7~""y-~=--;:u,,..-1
Location 7 D "l-'X'Ek 'j)n,lVid 8 S
Kind of Pipe Size Size of Main
IH:"¥iXiX*:ttltKewax-New Service Com~cJ~16-Lt8 Location
Date Material
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Amount.Total Date Amount
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.T ~Y\+-r:,..n''1T)()11nn 2 00 I
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Truck iY1o'2 hrs.@ .7r:;1 kn
P,qt:~h;-n,.,.17 x ~-17 00
1 ?110
Labor .
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P-7919 I"""'",_,",'III
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION----_.-
DATE .-J'.JO.--~__•••__~~_
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..