HomeMy WebLinkAboutROOSEVELT RD 31Name Ge:or~e Mandigo •Service No.~3S1
Address 31 Rooseve~t Road
3/7i'oos eve.JT ""'1?~a c:l Location
Kind of Pipe Sise 6 "Size of Main cg II
~NewService VIO 117211..Location C&""'-~/-;)5'-?;j
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Date Material Amount Total Date Amount
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11 1 t 6ft Transite Pine @78 II iq8 17/(
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6 X 8 Service SR In1 A ~6~,/
1
1 11-*0 m.i t.P.RAlIn ~.,10
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1 Hr.Trucking @'3.('0 ''3.00
92.~~
Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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
Sewer;,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.Work completed.................19..
Remarks: