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HomeMy WebLinkAboutFARMCREST AVE 6Name Le>"'---=L ~s J.Visco Service No.24 A.ddress 6 ~~rl1l.cre s t Avenue Location 6 Farmcrest Avenue Kind of Pipe __Size ~~.xJX:l'IIew'Service ~.~ft S'I.s/ Size of Main Location )a-(-~~.aterial Amount Total Date Amount I ---'--I ~/S'l I j/-9~",/)I~;:r:/La..1:::>c>:r-1----4JJ iJ-4 //'2,.,-?-d I--.,-~A:;£,L//y I1096c>~erhead'h-00_,d-~/~----f---- L.lt.•-0"-Sewer PiPE @ .344 "jgl1.L ///,,-?2- ,-.Tc>-T~~2 6L.Cnmnound 6 H:r--~-Li ttlefie'd Shovet!.LL2 00 --- --;:>1 50 i.t:-::L ,..-a.""'"Trucking --f-----lnC:<? ---I ,-- La be»... - - 9 TOWN OF LEXINGTON-DEPT.OF PUBLIC WORK:--jj. 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 ~r""'1ac:l 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 l..Ise of Partic ....lar . _..,'.Ovv-~er I I I II -r l I I I I I I -I I "I I I_ i I I I I I I --+-H-+-+--+--+-+-H-+-+--+-+-H--+--+-+--,'-f--H-+--+--+-',I ---.,I I Connection made in ""."",.",',Street. Remarks: Work completed ••-. . . . . . ...1 '9..