HomeMy WebLinkAboutFERN ST 10Name Martha.M.Jgnes Service No.JI9
Address ]....I;',Pl El aaanL ~eeL 10 Fern street ______~
~--(per Engineering)-.~..LocationLA1dnQ'"1-;on.N1as~.Ie;P]easent StreEt i
Kind of Pipe ~-.------ -Size --Size of Main ~
1W-.t~~~New Service Com.8-6-e;]Location
Date I'v1 aterial Amount.Total Date Amount
1')-l _C:l LAbor 11 C;S ~,j!~1 ',_,/\/j /£-1 /,'}<1__,'.'"'::6-J'd",,"!
A_I ~,LAhnY>21 ]6 1)I 7L I/~
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47 ,---..,
1 n%O-.:r_-rhead 1 L//,f,j
':lRI hIt SAW"""p~nA (Q)16
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-11 68-.Tn~lOt C und 2 28
T.;+-+-,=-£>~01 ri Sh()v",1 I,h-r!'l ~ri)7 lO ::>8 00 !
'T'1'"11 C'1<--t ,......,IT ')",....,(iii 7C:1 c:n
P",+-,..h;-.---.0"11,v 1 1 ),no-
07 n7
Labor
IP-7919 -I
TOWN OF LEX!NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DA"fE ;o~0 0 o~0 •~~o~-o 0 0 0 0 0 0 o~0 0 ~o ••0 0 ~NO.~o~o~0 o__o_~o_o~••
The undersigned applies for the construction of a particular sewer connecting No.0 0 0 0 0 • 0 __•••0 0 0 0 0 0 0 0 0 0 ••••
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.
ArnOt of estimate $.0 0 '••••••
Am't Paid $.0 0 0 0 0 •••00000 0
_••0 000.0 0 0 0 Owner
Sketch of Service Here
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I I I I I 1 I,, " I I
Conr:iection made in 0 0 • 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 • 0 0 0 0 Street.
Remarks:
Work completed ••19..