HomeMy WebLinkAboutFOLLEN RD 2106ServiceNo.
Address 9.1 0 Fc-,ll~n Road
I N.....I..J.CQmeau
Location'
Kind of Pipe Size Size of Main
8I:p~iii [j£-New Service COM.3-22-54 Location
Date f\v1aterial Amount Total Date Amount
60
42150
1150
24100
1:25123
Labor
HP-791D
L-~,,-.
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 a 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
Sketch of Service Here
1-I I II-I
I-I1-,
I I
I Ir--In
I 1I 1'-1
I 1
Connection made in ... . . . . . . . . . . . . . . . . . . . . . . . . ...Street.
Remarks:
Work completed .•_...19..