HomeMy WebLinkAboutGRAPEVINE AVE 42Name Dona1jLL~_C~lfiS ___Se~~c~._~o'__23k-.---.-------------..--------~_.__..._---- -----
Acfdress ',2 Grapevine Ave.'
Kind of Pipe Russell Siblev
JBsJ~New Service Permit #A 95
Size
Location I 3'-'4!,4\._~l...-.
Size of Main
Location MAR 14 196E
Date Material Amount Total Date Amount
..............P ,..._-~"•.3.DO 63 00 J/'l6~,j5 .0,.,.",5,/-'L:3 cc1-..........
Installed bY"con IItractor
Bill owner when connec ~ed )J -ItlJ-~o
12-7-65 37'6"Transite pipe 2.1'~q T yo a 1II.c::i/e
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Labor
uI'I_n..nA.
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 4 2-"!,),(,
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