HomeMy WebLinkAboutROSS RD 10Service ....NaMe D:i annA Estates,Inc.'.3
Address 10 Ross Road Le:xim.z:ton 711.M8.ssa~chuaet_ts
/()_~_s~7?0 ad Location
Kincf of Pipe
··~ewSe"ic.
$is.6 "Size of Main i I'
Location C_A?J-'?~//
Date Material Amount Total Date Amount
8/2/ti8 ~o 6"Transite PiPE @70 21 00 1/-/.<"-",/..//'-~/~/CC7 cO
V',.
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Instal]ed ~v Contraetior B~11 when COl hee'ked ~~I~J
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10%O.H.2 60 28 59
28'6"Transite nine l~i'l-'r~?1 I~J.
2 brs -Trucking @,.00 6 100
'7'7 l/.':t
Labor
H,a.M.18501 ..
,.
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
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..