HomeMy WebLinkAboutFOSTER RD 16Location
Name WaJ tar Gougian _._ ______Service No.172
Address 16 Foster Road
Location CO"l??1?7,/ /-;£,.,~7 .1
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_____K_,_·nd of Pipe She Sin of Main (
"~~New Service
Date Material Amount Total Date Amount
~I
"10-~-c;'~Lahol""A .;,q 9-<..30 ~7 cJt--f b ~.:.J.,';$/,u;00
,(\,ff ()lCf 2.37 ~l C:;c;'III,f'·ks4-/k/-u-.nJ h /t ~---C>
I,f,6"'1'....""....,,-1 +..,..d n,(,;\'71"\~2 20 J y£·8.';-5 u\1--
"'"''~"1.'h .......".1 (0 h !:'I"\1~00
1 h.r.Ront7p'yog 'l'l"Ri 1 ~I...r@ ~()(\1 00
1 ill".t-.l"l1("!kina rcil ~rIn 1 00
, 1 '"+.."....lr-l n",IW '7C .7r::.,-
83 50
Labor
HP.h411 ,
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.
I
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .................•.•••••
Am't of estimate $.
Am't Paid $ " .
NO .
.•...•.............................Owner
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed .•............"19..