HomeMy WebLinkAboutDONALD ST 5Name Outhet Realty Trust
Address#-5 Donald Street
Lot #15'7
Kind of Pipe Size
Location •Lot 1~7
Service No.
Size of Main
222
Repair-Renewal--New Service Location cZ//M //;?-]/-5/
Date Material Amount Total Date Amount
__~-1h.t:;'.V C."PinA l6l 1.()()101 ~O //c?F6Y'?--7?"'k')//>/;Lulc~o-_--r-+I_.InstaJ.1ed by COl tractor I ~.c2~~..~-_//<'/,<;:J
____.._J.__...i.(Owner to be bi led .when C Inne"t:Anll I j_I /9%oR
11,,:,3-5U.._--~Labor 31 22 ~~...I _
_10~O.R.3.12 34.~4
I_~.1
i ,-L..hr.......Rogers Tra1 1br @'3.0~11I----.-T--'-I I III ~
I Labor II
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_u_!u 1_.....i';•.•-=I t-
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ......................••.~-1\[0.........•.
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 s
/r-/ /f / /I I I I
111111111-1-1
II/I
1-1-1 II IIiI I I I I II I I 1/-/-IIrI
,w-V'III.,--~r--'
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Connection made in Street.
Remarks:
Work completed..,19 ..