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HomeMy WebLinkAboutELIOT RD 19Name Hi cn?,rd ~.3.aulni"e"'r _ Address 19 El i at Road Service No.20"-_ Location Location Size of Main ---------+----+I-------l: Size COM.5-3-54 Kind of Pipe------- Jt~k~cKI~WJ(l--New Se""i"e ,-,-;;;;;::=f,=:::;;~~~~:==::~i1F::~~;;;;;::=:::;;:::::;,:;1I ::::;;.;;;::.~===:::;;:::::~,;;;;;::~;;;;;:::::::====: Date Material Amount ,Total Date ,-=1=Amount --.3LJ2L<SU Lal:)or '38 0(3 d-/f.,-Y/l ....os/x;"tY/_ 3D,'lL<)'II 1'L 99 d---¥-l-J-Y ~-A?.h~/-J:?~.~ h/1LSLJ "r:;2 );0 ./----f-<li-':Z"'---4i'~ 225 L7 ~I ()lD...o- e:J"Ledu -1_--92 155 LLiVlvC. ----+----'tt""'-I~-~--",""'--Jt Sewer nipJ'L{f.cW'~7 7 lu I l:j'I lcaropaIJDdI-II_------j --+~ I 't u..1..1,/3 6r;orrmre s s air cv2.7 C;__!11 00------l hr TY-""37 ",=J ""1.7C;I,lU 00 : 1 hr Li ttlef'ield _sf~lovel ~•C;o 30 00 ::I+---+- -D'y ]laid te -'.L !.2-t-±e ders '7)1',==;0 ____hr trucldnn''C'-:L~)(j 12 .' :;:;~¥X"AM tr,udcirl'"((;:.75 ;LiSO II I +- atching 1'1 x 3 ~ HP-9694 t ;ron pipe IsuDPlieeji 9;f.aid I II I I_+-------"j'--lr---"J~O--'_"""=-~-~:~~,I by o-wner on~~I 1\I I I _______'__'"10 __'_ TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE ...............•,..•.•••.NO:-;-.-.-;... . . . 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 I I I I I I I I I I I I I I I I111111"'"",",,,... I I II r II I I I -II I-I r I -II I-II I r I I I I I I I I I I I I I I I I , I !II I I ,I I 'I , , , , , , , , , , , , , , • I I r-I I I I I I I I I I I I I I I I I I ! , ! I I I I I II I"""""'"••."-+'-+'--+-'---j'--+'-+'---j'--+'-+'-+--+-+-!-----!--+'--+--+-.---,, , , , , , , , I I I I I I 1 I-I II I I I II r I 1 I I Connection made in.. . . . . . . . . . . . . .•. . . . . . . . . . . . . . .Street. Remarks: Work completed.. • . . ••..........19..