HomeMy WebLinkAboutFOLLEN RD 214"-~,'
I Name Pa.ul Ousback Service No.--,1...0.L]~_
I Address.2141<'02180 Road
Location
Location~r.~-t '~\-Il--
Kind of Pipe Size Size of Main -llt~~*XX---New Service<D M.9/8/52 ------1
L;-
Date Material Amount Total Date Amount
7/16/52 labor :'5822 'J-//J"-L/1._'Ar'",,'/1 /-')",-,;;-t?
7 /17 /f=,2 If 4.4.,4.Q 1'\....~_/A -C-7 ~A k LL (;:,¥"y.~-
,~,_____I---+-'Un.lj'''.o e'Te rhe ad iL <;>~/,-",-b
~,58'.-h If .<:lAW"""ni ",,!iiJ :"'Al?,Q 1 f=,
___L Ijo.1 ",t:~....mr>....n"'n :'5 :'5f',
1_!~:2 /:'5 h T'S •I,i ttl e-r e 1n l'lh (",VA'I he Po'?
___---II__t2...brS.tMlck1 ng.~_II..'sn
___-+---.katching 9 x 3!__1 9 00
-ti !I 140 F.'7--1--1 f=-~-I -
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS '"£
SEWER DIVISION
DATE.. . . . . . . . . . . . . . . . . . . . . . . .- --Ne.--;-:~-;-:--~~--;-;-,-
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
I
Connection made in Street.
Remarks:
Work completed 19..