HomeMy WebLinkAboutPROSPECT HILL RD 15Name Jamas__BI'elima-i Al:'__ ___ _ _ _Service No.J.72
Address IS'Eros_De~-±_Hi~Roa-d------ -----:-------
loS _7>..,..a~~e.~L 1-1,.LL.Jie,a1:L Location
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LocationJr--/'l--.s--...?-
Kind of Pipe Size <6 .f'Size of Main 1_1_'_
~~-....New Service ~.
Date Material Amount Total Date Amount......-----.,
10/21 /55 Labor 1t hO F-;;.-)..-,5-;:;I-/~-hh~/XcY .2/h1 I/H'?
10/22 fSS ~01 ~t::'l2CJ 6a-ijp--/9-00 £-ft/c;Je rI ~/
5~70 oV6~nead f~/9 'J V72'...It sewer n:_De @ •'"2 f;f,
1 ...6"elbow 1 88
8 x '"Da-t,..h-t'nO'R ()()
JI h'l'>C!rn"'.....C!hl'"\uo I~h /"'1/"'1 ")1,""T
It h"l"'!"t .\-....,·....,..JlTlO'~~7h ")./"'1('\
'foint co ..:I ~1:::>
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Labor '-
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ......••...•••.•••••••••
Ii.
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 ..