HomeMy WebLinkAboutFOLLEN RD 135Name
Addreu
Holmes Rea1t!LCor~.
1 IS Follen Road
Location
Service No.
..
Kind of Pipe Sise
Repair-Renewal--N_Service E.R.Banks 1/4765
Sise of Main
location
Date Material Amount Total Date Amount
4/14/89 72'6"PVC
1 6"Clay 45 Coupling
1 6 x 6 C1.ay to PVC Fl rneo
1 6 x 4 PVC to PVC Fe.moe
10'4"PVC
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DATE _
TOWN OF"LEXINGTON -BOARD OF"PUBLIC WORKS
SEWER DOOMON
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NCO
co
Sketch of Service Here
J 15 fOLlEN ROAD
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Connection made in . . . . . . . . . . . . . . . . ... . . . . . . ...Street.Work completed.__""
Remarks:.
.. . .-.. .. .. .. ...... ............ .................. ................. .. .. . ................... ..
Name
;J
Address ..Ij S Fa IIen 12d.
Kind of Pipe-----
Repair-Renewal-New Service
(V«~.Lot Nc"f-7Q Mlt3 )
Location
Size
-----~J
Service No.
Size of Main
Location
Date Material Amount Total Date Amount
-------l--I-----------+-------t---l1'------t----tt-----+----t----------t-----+-I
---+--+-------+---+----+---+--------1t----t-----+--------t---------+-1---+---+------+__--+----tt---___r__~---+---+-----___r__-__+__I--+--+------+---.,.---\--l+-----l-----+--~--t-----__I_-__+_l
Labor I--+---+-------+----+---It---~___+-_+___+_--.----+---+---+-----j-----~---+_-+__+---__+__tt__-_t__t_----__+_--+---_l
---+---+---------+----+----4l----+---II-------t--t--------t----t--1
--+---------+---1+--------+---11-----+---+--------+---+-----1J
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:
Work comple~ted ::. . . . . ...19..
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