HomeMy WebLinkAboutFOLLEN RD 132Name Dr.GE3c>rge A.Schlichte
Address 132 Pc>llen Ro ad
Lexi:n..g t on,Mass.
Kind of Pipe Size
Location 132 .brol1en Road
Size of Main
~){i:t~Kaw,a;c--x-New Service Com.12-19-10-9 Location
Date I'v1 a terial Amount Total Date Amount
nv 17 'J,G LAhar (,6 La-4°v·':?/7 n/];I ./:-//c:<'~.Of)
av.18.'L.9 Labor ?),60 91 107 ~./!M"..J.'r/9 G~./"/9 ()[
110ib 0'.7 ~rhead 9 11 I4/V Od-
-_.-.._.-198 r 6"Sewer Pi :Je .:l:!.26 197-2c;
1 -0"io1bow 1 c;2 -//Joint ComDound I)58 ,/,,,._~j~'d;,!,
Brox S}-~ovel 1 hr.@ 9.00 9 00
Truc~'''-:L:rl.P"2 hrs.'0 .7 r::,1 So
,---lJili OC;
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Labor
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HP-7n9
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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 oS nd 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
Sketc;h of Servic;e Here
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Connection made in ...... . . . . . . . . . . . . . . . . . . . . . ...Street.
Remarks:
Work completed .•_19..