HomeMy WebLinkAboutGLEN RD 8Name T"~8 W'.Salth
Address -'---11c1en Road __
Lexlgti_on.liasII•
Service No.
Location a G~en B••d
/y'O·,_
!'
Kind of Pipe
~~New Service Com.5-2--&9
Size Size of Main
Location
Date
OfitL 'lAJ.l,A
'1
•Material
Lann......
10(0---'10.--..:1
",,,._6"C'f
1 -6"Elbow'
Joint Compound
1-,,1 t!.t!.1 •.,."..';1 .,,,.
Amount.
,oJ t:.n
1~1 60
lh'ft.a.,/6
-,}.I 'h ...1II
Total
it,1 20
h.L22
01 AS
1128
2128
'81('\('\
Date
~A'•..fJ"/)-1n:4U df f t./,[{
;;2"D
rv'i,J~L-d.
-~--<.
",,1-,c·/]-¥9
Amount
.9cJro6
801t'1t.
/O~~ll'f~
m_-~-'-hHP ,lot.....Ia_7~I II 11 ~O
-.16LiQj l-l t-c twPatching16x3I----+-i 10.;1 ,6 II---
Labor
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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 I I I I 1 I I I I I I I 1 I II
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 1 I I I I I I I I I I
Connection made in Street.
Remarks:
Work completed • • . • . . . • . . . . • ...19..