HomeMy WebLinkAboutOUTLOOK DR 40"'•.c_.....'";,.4_-.,,_:--.--~-~=.--~,--_~--..:~-~.---:,.=~'"_..r_~~...~~-~-~~OT_-,~,,.-:,.---,--.~--~-_~'~-~---,-_.-.--,.."......~_.--:~••--~·_~r·,...~~~_.-""""T:="'"'-~-;"_.-~-~~;.~:-'--"";_---....';--........,~.;._~:<_~~~
~JQbn ....Jlhg 5ervke No.loa _j
AllIcIress
Ki"".of ripe SiD
Location
ize Ifn "
'sF .•a •New Service Location ,
Date Material Amount Total Date Amount I
B/,,/1'(2 ...._~--C:o 1,7 J_/'/_~~_r:-r.:/./J;;:-
I
-7 LJ'-><
~/6/1'(2 '6 76 /''~d~L/r-:>~/Labor q-,~-~
10~Overhead A h'"'01.A':
--c7 /',,,,4 "',/£7
'SOl -6"""';'er_._l0l""·":3 2 27 ~6 .,//1
1 -
6"_elbow a1.1 8 ,1 88
,iai.n-r.camnolp'!,d I I,ao ,
c:h,..'fawn "hovel!m':·no ?.:Inn:I,
cn
,
2 hr.truckinll 1
\natoh1.n..12 x 1 1 '},00 ,i
,~..I ~~'
.h',
LabcM-
HP·"ii'069....L-----l ----------~._..
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
aATE.......................•.NO......•...•
The undersigned applies for the construction of a particular sewer connecting No.........................•..
Street and hereby ag rees to comply with the Ru Ies and Regul ations goveming the construction a nd use of Particula r
Sewers,as now or at any future ti me estabIished by the Board of Se lectmen.
Am't of estimate $.
Am't Paid $.
:"!,"_,'.~;,."~~"P_,•._.~_"Owner
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 I I 1 I I
I I I I I I j I IiI I I I I I I I I I I I I I I I I
_II I I 1 1 1 1 I I I I 1 1 I I I 1 I 1 1 1 I 1 I I I
I U 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
1 I 1 1 I 1 I 1 II 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
UJ..-I I I I I I I I I j I I I I I I I I I I I I 1-1
I I I I " I I I I I I I I I I I I 1 I I I I I I II I I I ITI I I I I I I I II I I I I 1 I I I I I r
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 D I I I I I I I I I r I I I I I I 1 f
Connection made in.. . . . . . . . . . . . . . . . . . . . . . • . • . . . . .Street.Work completed.. . . . . • . . . . . . ....19...
Remarks: