HomeMy WebLinkAboutGRAPEVINE AVE 46•
Name J .O.D.C6nstruetion Co.Service No.11-------...
Address ~G~nB'HlJ~vflL
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Kind of Pipe
T.n+.~h
Size
Location l6l 36
Size of Main
~New Service Russell Sibley Permit #2JJ8 Location MIIV 1 '7 meJ::
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Date Material Amount Total Date Amount
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Installed by can ractor
Bill owner when ~onnecte d 3-J-"5
1-10-65 21 t 6"Transite Pine /K'6 1/Ir -aN sj-';
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Labor .
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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
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed 19..