HomeMy WebLinkAboutFRANCIS RD 15Na....Charles H.Murray Service He.279
Address 1 c)'F_I'_anca s Road
Location
Kind of Pipe Sise Size of Main
.......x ...._x New Service Location Cl "'"'"""~-t,-tt /
Date Material Amount Total Date Amount
LO-?JI-~O LahoT'26 c;8 I~-t.-~t'j h_..........,;-1,0.-<~d
109!0 H 2 66 ?Q 21 L-</1 -£,A//~»
6"rrransite ninE!8 kc
'/
2/12'~.70 /=1'/
2 HT'R A O'L.~~~')l @f)E:;10 1~or:
1 Hr.TruckinQ'7t5
1?-'7+i.~.f.I:)T.",hn1",?J.101 51 39
1~O.H.1 11.2 17 6?
36'6"Transite 'Pine @ 78 28 b8
1 6"DunlexAdanter 1 00
1 221to ~•~Bend 6 21
2 brs.TruckinQ:@3.00 6 00
,?1 01
Labor
t!?jh s/'n 7"d ..;2/
H.B.M.1B501
TOWN OF LEXINGTON-DEPT,OF PUBLIC WORKS I.,.
SEWER DIVISIO,N .
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
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Connection made in.. . . . . . . . . . . . . ....... . . . .... ...Street.Work completed.................19..
Remarks: