HomeMy WebLinkAboutFOREST ST 25•Name
Address
Kind of Pipe
Dr.M.D.straw
2":'--er B'orest St.
Loeation
Size
Service No.H
Size of Main
..<..>£
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Rz~K~New Service Location
I --Date Material Amount Total Date Amount
I --
6/28/33 48'6"Sewer Pine ).1.5 7 20
f-~Sulphur &Jute 1 92 ~~3 1"/33 -C-.L ~0--
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ITrucking-4 Hrs .@.17 5 ;:001 12 12
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84 Hrs.Labor .50 42 001
1",0 ""(j~P.55~20 11 00 53 00"".~
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<!15.'b Overhead II 7 95"I~I $73mCOST 07
~
kHARGE Estimated cost,~f65 00 $65 00
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TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
DA'l"E .1'10,_
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 •