HomeMy WebLinkAboutMINUTE MAN LN 5~~-N.'\_I"..,..--~'......--_..---~-----""---------'-~''''",,-~l'-r'F----~....._,~-"_'W-----=~~
Na...""Service No.
'\-~-'-I'~,.,5 MINUTEMAN LANE 1.-'-~11 ..•~tJII~'"~....,I •aJ III!!Il l..oeItift"j
Kind of Pipe SiJ:..Sin of Main I
J.I1)•.<.4 1 1
Kepai_KenewaI--New:ien'ice Location
-Date Material Amount Total Date Amount
'1~)'.0$1
?eJ',,#T..,.aJ'l.6 ;}Q.
"-I i,#-~'"J5alll.t ~hA"..T
J i,"-jIf,-1JaMJ."1.'101.
"
.
--
-
j
-i
i
•
Labar
-
i
.
,OF-
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION \'
,
t"
"
•
DATE .........•••••••••••••••NO...•.••••.
The undersigned applies for the construction of a particular sewer connecting No..................•••••.•.
Street and hereby ag rees to comply with the Ru les and Regulatlens governing the construetion a nd use of Particular
Sewers,as now or at any fulure tjme established by the Boa rd of Selectmen.
Arn't of estimate $.........•
Am't Paid $.........•......./~l
.:.~. . . . . . . . . . . . . . . . ...Owner
r-r-I-I-I-r I TTIII I 1 I rTrrl-l-rl rl-I-I-I-I-I
Skefch of Service Here"\J II
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 I.h'"I II 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 II 1 I I II I I I I I I I I I I I I I Qi7.:t mJ I I I I I I I I I I
I I I I I I I I I I I I I 1il I'I"i-.1 I ,1/.y I I I I I I
I I I .......61 I I I I I I I I I I I I I·Ir":k I r~I I I I 1...-n2 A -------
t'i..Lh...l -I I I I II I I I I I I I I I
,.........UI I I I I I
I I I I-I I I I I I I I I I I Ivl'd:llt.!.I....1 ,t'II',.~I I I I I I I..;;,
_I I I I I I I I I 1 I I I I I I J.I I I I I I I I I I I I 1 I 1_
I I 1 I I I II I-liT I I I II rl '-I I I I I I I'r I I
Connection made in.. . . . . . . . . . . . . . . . . . . •• •• . . • . . .Street.
Remarks:
Work completed ..••. • . • . . . • . ...19..
"
----