HomeMy WebLinkAboutGRAPEVINE AVE 43Name IL J C 1 Service No.85...•row ey
Address
Location
Kind of Pipe
ReJ[aiIBE-Jt.lD'JlE!llBlQI-New Service QOM__B~50_-54
Size Size of Main
Location
Date Material Amount Total Date Amount
7/1)'/~J LahoY')In h1 ~-2 -h-¥'~~/J '"\)£c/A<;J -1-/J-7J
10%Overhead J,nr,hJ 6Q ~-.-7'4 -,~-~V ~/h,Lr/(2-9 of/'
c:;h l _6"Sewer PiDe @.Ie /;;z..,--0 20 ~J
Jni Y1T.ComnolJn"~2!L
)1 l{Y'!,\Li t.t.18 f'i 81"rO\TAl lel 7 Cl ~n nn
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Labor
UD_O'/"'O'"
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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Connection made in Street.Work completed 19..
Remarks: