HomeMy WebLinkAboutFERN ST 15..
Name Joseph Stoney _ _ _Service No.16
Address Ie;Fern Street
Lexi n gton,Mass~Location IS Fern Street
Kind of Pipe Size Size of Main
RJe~R:eneJlQ[I--New Service Com.8-6-r;1 Location
Date Material Amount Total Date Amount
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Labor
Labor
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .:-.::.:-:-:.:.. . . . .[\/0 .
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 $ , .
Arn't Paid $.
.......................•...........Owner
Sketch of Service Here
'-I'-'-11 r 1-1-'"'Ir-I1-1-1Tfl-\-11 I
1 I I I-I -I-IT I I -I I
I-I-\\-1 I [ I I I I I1--1-1-1-1-1 fT I I 1
1-11-'-'-'11-1"1 I I
1 I I I I I I 1-1-1_-1 1
1 I I I I I I I I I 1 II-I11-I I T r I I I -II I I 1-1-"1 -/1-1-/ /I
I-I-I1,-11'1-1-1'1-'
I -I I r I"I I 1 I I I -,
Connection made in Street.Work completed ••• • . . . . . . . . . ...19.•
Remarks: