HomeMy WebLinkAboutFRANCIS RD 17Na....~l,~sH~()~lil.yC:).__.....__"_/_.._.
Address 17 Francif3Road
Kind of Pipe Size
Location
Service No.
Size of Main
123
....-nr Z....x New Service Location _Q~W\.&-~-6/)
Date Material Amount Total Date Amount
10-2h-t:Q T.Ahn,...2JI ~6 17;;1'./--h,o /::7..-;p /3C1 cfc)
..
10c1n O.H•2 h6 27 02 J:!--;L40 :r l/Jf~,~/0',;:58
!12 ,6"-ite nine k&'..70 8 ho /~::t a;::?
1C;h2
"'_ll_~()T.~h()T'31 61
1 net ()H 3 lR 34 77
A &:0 ,&:off f"[l....!:lna~+,P n~nA (cJl7R 35 88
2 Hrs Town Shovel ~6.50 13 00
,u....rn.....",.lT~n (J'((7;7,()h ::5 00
~-:1:22 0'7
LaItor
-~;!j/)./1~d~d/ff~'/;/9
H.B.Il.~850l I 1/,/
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
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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I I I I I I 1 I I I I I 1 I I
1 I I I I I I I 1 I I I,I I J
Connection made in.. . . . . .•. . . . . . . . . . . . . . . . .... . . .Street.
Remarks:
Work completed T9 ..