HomeMy WebLinkAboutNICHOLS RD 21_-..-._._._.-...,,7_~._-.--".;0 ---~----"T-:>~---.-.--,---~.."....,.-'";""~•._-.-.""~.-.----~".-...---.-.~--::-~-
Name La.X enca ••5b.arpa Service No..M
Add,...2~!U.cbols Boad
2 I ",.',.6 0 Is 1?J..Location ~/"~--'-9'-ur£
Kind of Pipe Sin ,"Siu of Main t II
R....mc P w:wal--New Service location
Date Material Amount Total Qate Amount
7/1~~A Lab..",99 S2 5---3/-,,,-t "'/\)OtP~fr:>--0 a '""•'13 23 !17l?'85 /-5'-c ~i rP~'A.:J "':0
~O~overb.ad ,
1'1'29 .~....7--73 140....<•.;,
190 14 i ;!
70'S·Sewer DiDe @.455 31 85'1
~J"o1.nt com.pound 4 20 i
,,
4 st1.cka D7n_it.l @.25 1 00
4 caDS @ .1775 71
.eIuo••t O"IID .hove1 .6.00 36 00
1tu-torn.....tna :5 OO!
1ft..R ____......t 1•••JlIi.OO :\JlIi .00
4n.75 :5
,
2b.ra COII.Dres.or 50
Labor ,0'7'"A.n ,11;'1 j '"p..J.//-0 ~,
I
tP-969.04-I.----..------~._.-,
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE•.•.•.•.•,•.,••.••••••••,NO......••.•.
The undersigned applies for the construction of a particular sewer connecting No .
SIreet and hereby agrees to comply with the Ru les and Regula lions governing the COI1structiOrl a nd use of Particular
Sewers,as now or aI any fu ture Iime established by the Board of Selectmen.
Am't of estimate $ , .
Am',Paid $.
.,Owner
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . .... . . . .... . . • ...Street.
Remarks:
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Work completed.. . . . . • . . . . . . . . . .19..
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