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HomeMy WebLinkAboutFOLLEN RD 109•Name Address Kind of Pipe Rohert J.Kelley 109 Follen Road Loeation Size Service No. Size of Main -e o?-y/ PLi-"ij-3:1"'''7'"~.) n ~r"/J.I 55 66 74 19 ';L'£L kl " Date 4;e~,!y § '"~.~ ~~i { ~~P< ~'d~ • Bepak~New Service Material 6"Se'clTer PLJe .2' ~)uJ nhur pc J'nte Trucking 88lHrs.Lebor .55 15~Overhead I (/I";4~~-v,--,,(-~ / Labor Amount lilij4\25 I 2 281 2 00 I lI 4f3!40 il ~II ii Total 18153 Location Date ~I ,.2.71/1J /--~ (;/n-[;; Amount 7J TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS ~SEWER DIVISION DATE _;;<V>/f3(p..NO.;/'2 The undersigned applies for the construction of a particular sewer connecting No./09 if~ 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. • • •19Workcompleted ~'n~own" Sketch ~f Service Here i--~ _.--- --_.- ~ -. -f- -i--, .,r,!I, Connection made in ~~"A---rt Street. Remarks:~~di/,~.k -~ Am't.Paid $_ Am't.of Estimate $_ ~~,-?.....,"1;r~L~e"./"-'-a~-;,~'-~'~~....IIIi;.."C>