HomeMy WebLinkAboutMARRETT RD 38612
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lacation
Kind of Pipe
;12e
Sin of Main
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Date Material Amoont Total Date Amount
,/,0 ;SS Labor 28 170 ?-'it-_;;;-i (J.J~A ~.././/'~"IL>-1':I
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2S 171 C;)),<X~/_-/7-::-./II /:;:>';,,3~-~
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE •...•...••...•••.••••••••
J,.,
~~...
NO..........•
~,>
~""
The undersigned applies for the construction of a particular sewer connecting No..............•...........•.
Street and hereby agrees to compIy wi Ih the Rules and ReguIations governing the C'Ol1st ruction and use of Particular
Sewers.as now or at any fu lure ti me estabIished by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $..............•.
.....•......•.......••.••.........Owner
Sketch of Service Here
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 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 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 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 I I I In
I I I I I I I I I I I I I I I I I I I I I I r 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 I I I I 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
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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 L_II~l I I I I I I I I I I_Ir I I I I I I I I iTl I I I I r
Connection made in ,Street.
Remarks:
Work campleted.. . . . • • . . . . . . . . . .19.•