HomeMy WebLinkAboutFOLLEN RD 227Name
Address
L.T,I.Burr~ess
?2C
(':"c,l J en Hard
Location
Service No.60
Kind of Pipe
~New Service com.8-15-55
Si::r;e of Main
Location
Date Material Amount Total Date Amount I"-
/l~/O~/Xe/I
,j2/[~;La1 or HC 07 0-;7/'.--.6 51 .,-/1 I/J-rl
S/'1,/r;[;"'1,1 oL,11'2 01 rF:-/JJ ;",-S /2EA~/y /~10/
lO'ovcrhe ad 11 20 '7 ,~<.3('?'7'7
~6 -6"S 8 1,ver DIne Q ."l2 l~'02
ioi YJL;COillDOund 3 136
;~'.,/).n -n C'T'j ".t-1 P.-r,co i1 ~."1(0",1"'1 c:;n-',n Inn
2 1 1'"):J •t2i;,cl:inc -@ .7 F;1 ';0
nA..'j ro;"-1 n ,"'1 c'y ?1S:::Inn
7geDair
.-
0-7-Cjo 2i"l Iqq,~"~V.C ..9.6
/~NX411 teY"NC(
Labor
/<i>'"'X ~,.Te '('Nc.o
HP-6411
TOWN OF LEXINGTON-DEPT.'OF PUBLIC WORKS
SEWER DIVISION
DATE -._NO....'_,','...
The undersigned appl ies 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
I -I '-I I I 1 I I I-II II -II 1 I -I -II -I -I'-I -1-T I-I T 1 ,
Sketch of Service Here 2 2.7
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I 1 I I I II " 1 I I 1 , I I I I " I I I I , I 1 I I I I I-1111111 11111111111111 11111111111
_I 11.1 I I 1_ I I J.I U .1 _II 1 _ILJ I I 1J 1.I J 1_1_1_1 1_
Work completed .,• . . . . . . . . . . ...19..
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.....
•,:!.J;i:/t.
Connection made in Street.
Remarks: