HomeMy WebLinkAboutROWLAND AVE 6~.;.~.
Na..Mario P:fa:f'L Service No.5]
Address 6 Rowland Avenue
'6 ·7?o IV I aN J.A Ve.,Location
Kind of Pipe Size tf>N Size of Main VII
LocationCG'tY\"'"-'i-)''l-Sc>Repair-Renewal-New Service ,\
Date Material Amount Total Date Amount
r:::11 fi/r:::f>r..1-.1_?}?7 ~-/~<.6b ~A"--"._•/74<70
~/1 7 /~A Jle:r{.A I (/-L ~£,h I ~/l~T'l:lhhY>n7 /J--3'~...j ~V~'eG
1 no,?nVFll"'hFll:ln f O~7r.?7 /33 7~
-:<n'Alt C'Pin""{(j)'2.41 c::'In 01\
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.Tn"n+:r.,..:J 1 80.
1 -:<1 h hl"'!'-l T."+:+1 ",f''',1 r'l fii>R Ir:::o 11~~~
1.h 'l"'!'-l t:T'll~]'d no-rm 7 ~-:<00
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Labor
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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:
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Work completed 19..