HomeMy WebLinkAboutMIDDLE ST 8;;~~",--,----",--
Name
Address
Ralph Blair
Po v ..nn'..~_"'+~.......+-
Lex!.np:tOD Location
Serviee No.14
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Kind of Pipe Size ~,;5;"0 of Main 'i ..i~DXYX*I--N-c:.._u.o __f __fc'_I ~"'Aft·I.V U!U..11 )\.11_/..1
Date Material Amount Total 'I Date Amount-
3/17 /fi:~i TJIhn.....:>;8 6'7 '!~-")-3'~/)~~#v.::"//:<£}
l',dt ~~~~....oa'"'>:Q'1 4~,,"'-<-{e-p,,-;;>i /:;;;::://-~/(?_P IFP------
,/4{I -6"sewer nine 3 .342 l'68 .L :>//2-;
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int oom~ound ,40 ,.,bra.L!.ttlafiald ~hovel li 7.0 4<00
2 bra.trucking 50
pl tch1.ng 12 x :5 !l'00
i ,191!1?
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~ii 170",f.....t-/!,,,,
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Labor I j i
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!,I,I IHP-96-9'4 I,,
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...•.•,.NO..,...,....
The undersigned applies for the construction of a particular sewer connecting No ,.•..........•••••
Street and hereby agrees to Comply with the Ru Ies and Regulations gove rn ing the construct ion a nd use of Particular
Sewers,as now or at any futu re Iime estabIished by the 80ard of Selectmen.
Am't of estimate $.....•....
Am't Paid $....,.........•.
.•.•.•.......•.....•.••.•••...••..Owner
Sketch of Sel'Yice Here
Connection made jn , . . . . . . . . , . ... . . ...Street.
Remarks:
Work completed.., . . ••. . . • • • • . . . 19..