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HomeMy WebLinkAboutEWELL AVE 12Name Robert ~.itfie1d Service No. Address 12 Ewell Ave. Location Kind of Pipe Size Size of Main L, ---'------------ Se'N~IIMGC _____-ngavwp.yg*C4.",VOP Date l'v1aterial Amount Total Date Amount ._-- "QS 17,_ins t ~=:L..J.ed 53' 11/2/82 40'x 6-~~C Pipe I -~~-1 if"'Or rv,meTnR 111/2/82 13'x 6"PVC pipe Lab~...r,/[17:~A.I/)~///"~-3 .,L'/ ~/ - J'D_"o.1 n TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE .--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 a .......c:I use of Particular Sewers,as now or at any future time established by the Board of Selectmen. Am't of estimate $ . Arn't Paid $ , ".." ....,.., . . . . . . . . . . . . ...--•. "Owner Sketch of Service Here 2.. I I I I I I I I I I I i~'21 .,.,I.....,I-111".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 II I I I I I I I i I I I I I I I I I I .I tt I I I I J_I I I I I I I I I I I I I I I I I I I I I J 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«"'rI-J I In.I I I I I I I I ,II I I I I I I I I I I I I 1 -"';'I~~~..~.r_'....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 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 l I I Il I .I 1111111/11111 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 II I I I I I I I II I I I I I I I I I I I I I 1 I...IH I I I I 1 I I I I I I i I I 1 II I I I I I I I I I ,.'",.I I I I I I I I I i I I I I Connection made in fi.f.c(~+,!,I!~~Street. Remarks: Work completed ••_ __••...••.•..19..