HomeMy WebLinkAboutFAIRLAND ST 17Service No.221
Address
~~~,(;>--_<3I -S-~Location
Location
Size of MainSizeKindofPipe---------------------~-------------
R:QPii~~at-New Service
HP-9694
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Date Material Amount Total Date Amount
n/26/r::5 !.Jabor 21 S5 //-//-L:s-~-__/.:/'~-::._/;./--5 /-//-:::.--;d .":-------:-/.-.5--;;"-rj ~~.c5
0%overhead 16 21 71 &'Ln7 d e J)i __+l-
I ,2 /7---..3/-S.3 &17'::'
~f-,,(,""A-AY'niT'IA (cD.~.?17 Q?74 ;;>-'!)------~._-_.._---_.__._--_.._-~---
i oint comuound i ":),6 I_.---_.~_._-r-I hrs _Li ttl efield shovel@<•~O 28 ~O -~--_.-,.trucking 7~II__hr.I .-----
I I 71L 21LiI,./~,~,fla!Z==i I I ;:)pplJel to oeI "-l2
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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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
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Connection made in Street.
Remarks:
Work completed 19..