HomeMy WebLinkAboutFERN ST 43Name 1n:'s.'Moor e Service No.64
Address 43 Fern street
r;e~ton Location
Kind of Pipe
~-NewService COM.7-G8-52
Size Size of Main
Location -------,
Date Material Amount Total Date Amount
--6"sewer p1.Fje f@ .Mif II 12131 II I I _~---u-6"elbow " I ii .1.1 00 II I +-I
I ~oint compound ,==---I $hra.Little ::e~s_el _____ __=~-~.::~":~O:l:"~,i ---~F 1-=r=-~
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i 1-.+==1 I -)_1=I _1Labor//_':2).--t.7 (f'~J
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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 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:
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~11nIl
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Work completed , , , .19..