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HomeMy WebLinkAboutFOREST ST 46Name "H:rni1e .::>aulni er Service No.60 Address 4 (3 Forest Street LocationL~~inp;ton .- . Kind of Pipe Size Size of Main ~~NewService (2"..,.IE'-,,$'"CI Location Date "'-"1 aterial Amoun.t Total Date Amount AUR:.24 '50 Lab o.r-29 3'1..1/........II 1Jt)~~..I.'7':'"L /~od-d .vlOo,?:Overhead 2 94 32 21 ...-'/";//~.,_,f 56 '6"Sewer 'ipe 15 68 ///.{z:..- 1 -6 "I Elbow 1 56 Joint Comp',und 3 36 6 h.rs -Litt1ef'iE Id Shovel 42 00 ' 1 hr_Trucking 75 Patch :i..ng 16 x 3 16 00 i --f-c 111 56 Labor rIP-7919 ,, "'" TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION 6A,..1::---.!'JO.••••••~_.__._ 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 I I I I I I I I 1 I I I I I I I I I I I I I 1 I I I I I I I 1 -\-1 I I I I I I I 1 I I I 1 I I I I I I 1 I I I I I I I I I I I I I I 11111111111111111111/IIIIIJIl/1l IIII I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 I I I 1 I I I 1 I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I " I I I I I1I/II/IIIII!IIIIIIIIII!IIIIIIIII I I I I I]I I I I 1=1 I I I I I I I I ~I I]I I I =1 =1 I=1 I I]EIIIU=I 1 I]I I I I I I I I I I I I I I I I I I I I I I I 11111111111111111111111111111111 I I II I I 1 I I I I I I I I I I I I I 1 I 1 I I I I 1 I I 1 I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I Connection made in ..............................Street.Work completed .__••• . . . . . . . ...19.. Remarks: