HomeMy WebLinkAboutRAYMOND ST 2"""1".._Name ...---L-ServieeNo.S 3(,
_---=A=d=dre=ss g~4.L4CJnc::i-..~.~-----......._-~_.._--_._---_._..'.....(...•----~_._----
2 7f_.*~:JLL_~_.sI~_~r .~ti9~_..~_~Ld-6ee/~:~~::~--,
___.Kind.of_~!!!~.__.._..__..._
___...R~e"",pa!!t!iJ::.B~..Jle1Y3.L_.Ne,1'V~rn~e _~W«:~!t9!!,_.__.._.__._...._
--=rt=-=;:r==.,."F'
'-'-",,--....S·~".._.~-_lze-'~-'-'--"'~:_.~.
Date
-~.s~.~
-;::t-------.-.
d,:;
Material Amount
---j...
Total Date
l----
~..-...._.--------.-+.-
Amount
-'---""'''0,,",__--
l -+------4-------..---
~:t:j
:l1 +-
..····-t--
j..
l----#-.
~-..#-\--
-i
-_.-..j...
t-..------.•..-•.._+
+-._-
I l -.--4-------~+-____*_-I -#----.~-----.j.--~'.'I ,.
I _+Labor_.---_.-~---_..__._-+--_..-----.I1
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO._
The undersigned applies for the construction of a particular sewer connecting No.L~4/ZL&
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
','
Work completed _
H 2SlietchofServiceere ~
~\
i....
.
I,
1\I\.
I\:
"'\
7 IA ,~v •A..f;?"~l ~~~I'",
,I /1 /v,
Connection made III Street.--------------
Remarks: