HomeMy WebLinkAboutDIANA LN 14Name Louis Stcico
Address 14-Di ama Lane
Kind of Pipe
~j~NewService
Location
Service No.
~';hCf/~7
Si%e of Main
Location
18)~
Date
2-2D-S7
Material
Labor
lU%C.H.
II 'Cast iren
Amount Total Date Amount
I-tJ La'"I []1=I,:n4=bdL6 0 I t=1
I I I I II I II I I I I 1
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II '~1 ~l-l !I-J
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE , "......•.•••••J',IQ•••~L'..~·...~..
The undersigned appl ies 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 I I I I II I I I I I
I 1 I I I I " I I I I I I ,1111 II I III-I-n-I-'-I I I I I I I I I I 1-1--1--1-1
I'll 1 I I I rJ I I-I I II I I I 1 I I I-I-I-I-r-I·'--I
'-I-'-1-'-'-11 I-I I I_I , III1--1-II-IT \-rl-rl I 1-,-I'_I_,_,_rl r-,-,r-II -I
I "II 1-1-_l-rTT -II-r 1
'"I '"I I I """"I.LLJ 111_11.1.11_111
Connection made in Street.
Remarks;
Work completed . . . . . . . . . . . . . ...19..