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HomeMy WebLinkAboutMERIAM ST 14...."""_.. Hante Eft 3:'"Y"7 Ilewgent Service No.7/ Address'~4 :M:_:rr:1am Street ~~.nR:"t:on •Mess • -_Location ~---.l"'J e.yo;a hl 51: Kind of Pipe Size Size of Main ...~US L New Service Location /;X;=I .t.ado 0 Amount nl£.I_'~fL -rdfl~jJ Date I'~.1J';j- TotalAmount I I i II ,--Jta,~It r¥r Material LEiLl:>C>~I 44157 II 44 157I I ~O%Overhead t H 4 ~ 66'_en Sewer Pip.IS<.261 I 17 16 .30§~48 >at"e J 00 :1.en.t {;omo ound I I II :5 196 .,.,::I..r.....s.Littlef!eld Sho'el 24 50 II --H I I ' 4 b.~s _D4 Tractol-12 00 11 ' :2 h.~a _Trucking 1 .'in Pa.t ching 26 x ~I--H 1:~H I 1-- Labe»r III 1111 11111 III TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE.. . ... ... . . ... . . . . . . . . . .NO . The undersl gned applies for the const rue!ion of a partk ular sewer connecti ng No....•...•• _• Street and hereby agrees to comply with the Rules and Regulations governing the construction arld Sewers.as now or at any future time estabIished by the Board of Selectmen. Am't of estimate $ . Am't Paid $. Lise of Particular 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 j I-iI i I I I I I I I I I I ! I I I ' I I I I I I 1 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 II I I I I I I I I I II I II I I I I 'I I . _ _•_ . ...."Ovvner T I I I )I I 1 rn-11-1 I I I I I I I 1 I I " ,I II-I ITI ' ,... -1-1-1-II I I I I IITI-I-I Connee!ion made in...•. . . . . ... . . . . . . . . ... . . . . ...Street. Remarks: Work completed • • • _•. . . . . ...19._