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HomeMy WebLinkAboutELLIS ST 6Name Address Fa.r1r1~e Lambert ft,~-.1'l1L gnP-At Service No.12 Kind of P_i~p~e _ :XJfJl~~K1Jl~OO~iD"'~-l'IIew Service COM.3-22-54 Location Da"te ,...."".....aterial Amount Total Date Amount ." "4/54 LaIbor 50 72 -1-~f-y (/).-?AJ/~c//_..?~1 /.r-o 5/54 It 36 39 8?11 J-;;.2 f-".v ~g..,L/(/J j!'6- 109b ove ~l::::Lead e 71 ./,;1'.?~.;tr ..,/ 28'-6 ...sewer pipe @ .308?e 64 ioint C C>3:Z1Tlound 1 68 2 hrs_t =C-'Jcking 1 50 I 1'&~.:l.·(~'i rn .,;;..,~l,.,(..~Ir ;);I 10?64 01111 'AD H~1M L/I r t;.A'~..k-.<;,v - Labc:»r 1919 TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION OATE~.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 CII.,cI use of Particular __-~ner !-I I I !I I I I I I I I I I I 1 I I 1 I I I 1 I 1 1 I I 1 I I 1 I I I I 1 I 1 1 1 I I ,I I I I I I I !I I I I I I I I I I I 1 1 I I I 1'1 I I I I 1 I 1 1 1 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 I I I I L I I ,I I I I 1 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 II I I I I I I I I I I I I I I I I I I I ill I I 1 I I I I I I 1 I I I I II 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 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 1 I I II I 1 I I I I I I 1 I I I I 1 I 1 I I I I I I Connection made in ..............................Street.Work completed . _ _ _ _•••.•••....1 9.. Remarks: