HomeMy WebLinkAboutPRESTON RD 21Name
Address 21 Preston Road -"~-
2/.~~_e...s_LdN __7?_CL4 c:L Location
Service No.
Kind of Pipe Size ~,~Size of ~a~n _g II
R!Ql;Itam-.buat.wI-New Service SEWER SERVICE TO CURB-TO BE CHARGED Location
WHEN CONNEC TED
Date o wtia~;r:le Amount Total Date Amount
Q/I0/&:;:~I"a.bol'"8 82
10~Overhea.d 8e 9 rTO
10'-5"transit te pipe@ 51 5 50
1 -6"elbow 1 88
2 hrs.Brox shov ~1@10.00 20 00
1 hr.t ruckin'l ;7~
3-24-,5~.INS iJ.Q.37 63
3~'S'~IV'a }J J:;7t>~
Labor
UD_OAOA
DATE ...................•..••.
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER ~VISIO'N..NO .
The undersigned applies for the construction 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
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Connection made in.:.,. . . . . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed 19..