HomeMy WebLinkAboutPAUL REVERE RD 36-'-.-","'-~:.--'-."","~"-::-'-----'f''O"'"···l.··'''·~'....,,.~.-~
Service No ."'.'f,.•~<.:
':-.""
."..._~"~..~
~tT.:~O:ft··::"'!I~'-f-,--.-~----1t:.-:'~--o~~~--'~-,,~:-~~~~~<----=~...--._,C-:~:<_T~~~~'~,
I..JI.'~:!5oF>~u1 BMuuo,j!L Road
3~-Pau I It.vere.11".4.Locatio"
Kind'of Pipe Sise 6 ,.Size of Main
Repail'--R.ene_a&--New Service Location
Date Material AmQunt Total Date Amount
P6.Zs:.li"?/0-2-.57 :D...,,,0;T J60 do
~/'~-T .....aW$ir-e.,2;-z-Is?1?p Jl ~-'25 "Cj
I ~,..CJIJ~E11.,,1<'12.4-q I
-•----+---+I
\I
I ,
,\
1
Labor
,
i
'-969-....I i \,1 .',,
._.....-..,.,r
L':"...""-'".,
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE.•.••.•..•••••, •,.•,•••••NO
The undersigned applies for the coostruction of a particular sewer connecting No _,..,
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estImate $ ,.., .
Am't Paid $,.".
..,Owner
., 19,.
Sketch of Sen'ice Here 3 ..~-.,
I I J !l ~.I I I I [ I I f I I I I I I II I I I I , I I
I I I I I ~I I I I , I I I I I I I I f I I I I I I I I I I
I I I I I f I I I I !l 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 I f I I I I I I I I I L I \ I I J I I f I
I II I I I I I I J I [ I I I I I I I I I I I I I I I J \I I
I I I I I'I I I I I , I I I I I I J I I I I I I I I I I
, I
I 1 I
,1'1 I , I I I I , , I I I \ I I I I I I I I I I I t ,
I !t...<.1101 '-'71 ....I I [1 ,I I I I I I I I l...k ~.1J.~M..
I I I I ,"-J I I " I J "
.6'J .1,I I l"-t'b.,,,-i
I I 1 II It'1111"'1';A",I~.0 I I I I I tI I II ,I I I I lit I I I I !!I I I I I I I I I 1III [ I , I I I I " I I I 1 I [ I I I I I
, I I I , I
in ....~........................_Street.Work campleted... _ ..• .Connection made
Remarks: