HomeMy WebLinkAboutEWELL AVE 27Name
Address
Kind of Pipe
2?Ewell Ave.
Size
Location
Service No.
Size of Main
R.DIIIi...,.."R:ene __N Se"L--
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Date l\I1aterial Amount Total Date Amount
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Labor
IP
TOWN OF LEXINGTON-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 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
-Ill I I I I I I I I I I
I I I 1 I I I I I /I I II I I I I I I I I I I I I
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1 I I I I I I.L I /I I I1111/1/111/I I
II I I r I I I I /I I ,-
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I I I I I I I I I I /I I I
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Work completed ••_ _ _••. . • • • . ...19..
I I I I I I I I I I I 1-'-1
I I I I I I I I " I I I II I III 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 I I I I I I I I I , 1
I I I I I I I I I I I 1 I I
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_InIl I eel I I I 1 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 I I I I II I I I \I I I I I I I I I
Connection made in Street.
Remarks: