HomeMy WebLinkAboutFOLLEN RD 220Service No.19Name_______--'F--'r=---ank E.Douglas s
Address 220 Fo lIen Road
Location
-~--
Kind of Pipe Size Size of Main (--
~-NewService Location
Do'e [Material Amount Total Date Amount.--
57 64 3-/'1-_'-(~-#-3/15/56 ~.or 0>-(.~~Jp~~Ot7 00
'L-,J3/16/56 I 1,_31 04 ~~:l-O ___-:-t"~/-'.V ."-10--t 1
3/28/56 I 57 64-,3,/0-6'-1-_
3/29/56 ,23 57 ----
i I 169 89 I'-~--------nul ~,10 0 overhe ad ~16 qq 186 88 Ii ,
___~-6"Sewer PiPe:.iLSS !32 76 '
=tf~t compo=d .I
II 4.32 'I ----
I 3 patchi:i 14.1 00 ----='2 s.Trucki @ .7L 1 So ---
____!±.2Y.3 hrs.Littlefieid Shove1 @c.SO 39 66
4 2 '/3 "_" \ "I 39'66 (-I
1/31abBr ""
I 66 ,2 2 22,-,----
,2_Er>s.gompressor @ .75 _'3 50 --,
l'1"trucking I 7r;I
I
I 34.5 69 ---
I IHP-9694 ,
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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 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
Connection made in Street.
Remarks:
Work completed..•.19..