HomeMy WebLinkAboutMASS AVE 1364-_.~<---._--.---,--c:-:.,l.,.--.-....
Name Charles E.Ferguson s.......ice No.21
Address l36h Mass.Avenue
}364 l'1a,ss.A Ve.Location (
___K_in~d of Pipe Size Si"e of Main l
1Kili~~New s.......ice COM.5-9-55 Location
Date Material Amount Total Date Amount
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-,7"#-0
i /70 21F'P.
;>-/k ~-,'i ./)~_s/x,"/
351 26,
c81 11
I lQ)b over:--~ead
kL
CE..4RGE
30'-,or "0,,
i l -6?1 I It :15)8
j .t --1 '0'' .'",-i "0olnCo:r,pOUlla 20'-c t8wer 1:leE'.12 a "-'
,1,O/cbS-Labor
-.3L'1 /$5 1-:--'-'
8)75Q:;..~,...~~ssor,f;·11l?5r~~J.l.~nr s.1r37 CO"",''''''''''I i oin ~co~,r ound }'20
6 hr s.town shov 1 @ 5.DiD 301 001 }I,hrs .~'6 COIl'8re s s :,r @ 2.7'5 38 50
.3 hrs.trucking 3.00 1 11 00 I,S hrd.t6wn s [love1 @ S.00 2"00
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ........•....•.....•.••••NO..,.
The undersigned appl ies for Ihe construction of a particular sewer connecting No............•.....••..•••••.
SIreet and hereby agrees to campiy with Ihe Ru Ies and Regulati ons governing the construeIion a nd use of Part;cuIa r
Sewers,as now or at any future Iime eslablished by the Board of SeIecImen.
Am't of estimate $.
Arn't Paid $.,.
.Owner
Sketch of Service Here
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Connection made in .....................•....,....Street.Work completed .....••...•.•.,••19..,
Remarks:-