HomeMy WebLinkAboutPRESTON RD 24,";'ft'ame
Address <;).4.'P"'""art'ln Rt'lall-----.......-.."...---
Lexlwaon
Service No.
Location
Kind of Pipe
I§p~-NewService
Size ~N Size of Main ~"
SEWEK oERVICK·.rO-CURB~TO-~CHARGED
Vlf'F.mN CONN"RCTF.D.Location
Date 04~~~i:i..Amount Total Date Amount
9_1 ()_F;~T.a'ht'l,..1'7 ~4
1 ()qt ,all 1 '7F!19 40
20'-5"transite pipe @ 55 11 00
1 hr.Brox shovel 10 00
1 hr.truckin.Q;75
3-2,s-053 INSid..41 15
3//oS ~~Toy.a H So ;TI!l..
Labor
I-.ID..OAOA
'.
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISIO,N
DATE ...............•....•.••.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
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed ,19..