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HomeMy WebLinkAboutEAST ST 12Name Jame a F'<J"W1er Service No. /i) Address 12 Ea..~-t:::;.Street Lex 1.r.l.~-t:::;.c=>n.Mass.Location Kind of Pipe Size Size of Main L.....ew Se ."iSl")(~.:a •-.-------;'- '-' Dat-e ...............Clterial Amount.Total Date Amount Ly 30 '41:Lab c>..x-32 55 32 55 LL;vV;(\YI LL J J-iJ 00 1.0%C>~erhead 3 26 laWsl 1i ldL /,J d-".j V5' fiO • -E::i ..-Sewer PinB @ .26 13 00 I :?J x/ -~l::::JL -~•Li tt1efiBId Shm el 24 50 2 l:Lx-~-Trucking 1 50 i----- 'Pg~~""'"~.rlg 18 x 3 18 00 : .1.3 -77 7?~,.",~INd.}9fi IA1 JC/~"-/~a /'IS ;Te J (f......~...,......;;;:::;;;;;zMS;TB -C/~III Asl,a..fr'Q.r I Lab~.. ;tJ1T-'?,rc~Jf 'fa ~l.J,..;:;'oy-.-,it~u>"'2' --~)'1-"II 1-,J~7~t'-v///.r;·UA~ 919 II '"~ TOWN OF LEXINGTON-DEPT.OF PUBLIC WORI<.~ SEWER DIVISION -----eA"fE '"..;. ,-,-.;. ,..., ,.-..-...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 Sewers,as now or at any future time established by the Board of Selectmen. Am't of estimate $ . Am't Paid $. Sketch of Service Here c=Ii ....c::I use of Particular ___"Ovvner I I I I I I I I I I I I I I 1 I I I I I I I I I I I-1-1 I I I I I I II I I I 1 1-I I I I 1-1 I 1 I I n-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 r I I I I I I 1 I II I I I I I I I , 1 I I I I 1 I I I I I I I I I I I , 111111111111 II I1I111111I1 I I ""'''''111 111111I111111 I I I I I I I I I I I -I I I I 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 1 1 I I 1 I I I I-I I I I I I I I I I I I I I I I I I 1 I I I I 1 I I I I I I I I I LI I 1 I I I I"",'111I1I11111111111111111 I I Connection made in '.,Street. Remarks: Work completed ._. . ........19_.