HomeMy WebLinkAboutFERN ST 12I Na~e _C1 n r a..-----.Blume Service No.19
Address 12 F E3 rn Street
Lp.xi:rl Fy-ton.1,las,,-,Location 12 Fern Street
Kind of Pipe
Rgpm~w::."tLNew_Servi~e_Com.B-6-C::l
Size Size of Main
Location
Date l'v1aterial Amount.Total Date Amount
r----l$d,;'n ~<./~,b/C::-?1 -C::1 Labor-11 11 C;11 1J c::.-'/~JS.."I c?.J
11 n%0 ~erbead 3-V~j;'/,(I./..,
,/)V..-<,.-------.
c:R I 6"Sewer Pihe @,36_20 88 /I,.--1--
11 _r-,~~Elbow 1 88
1 -6 x 6 'fee --1 28
Jni nr.Comuound '3 48 I
IT.i -t-t-.-=-f'iAln ;;;>hmTA ~s @7 00 U2 00
rr'l"llf'l,;-r>D'?h",,,,,,w .7r:.1 Ic;o
107 82 _.
Labor
I-IP-79'I),,,,--------------
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 a ~d 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
I I I I 1 I 1
I I I I I I I
I I I I I I II I I I I I ILII 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 IIII I I I III:I I I I
I I i I I I I
Work completed ••_ _ • • . . . . . . . ...19..
II
Connection made in . . . . . . . . . . . . . . . . . . . . . ...Street.
Remarks: