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HomeMy WebLinkAboutSHERBURNE RD 11Nallle AcIcIress Percy F.Crowell 11 Sherburne Road Service..102 ) /S hevhu Y"'~e.7?t'J'::ld. Kind of Pipe ....paiIll-R.....wal--New Service Location Sise ~I'Size of M.in -.R /1 Location C'"n-V\~--2t..J ~O:;':\"' Date Material Amount Total Date Amount 6/27/58 L~bar 87 53 ,;{-/;J-./Y J;J.r2/8J';-yJ f-r/1 0"r':, 109 overhead 8 75 96 28 , 1/-/5-f9 ~//9 c::r? 50 - 6 ft Transite pipe @ .7(0 35 00 /"-:;/'cr7 1 -6"Transite Elba~900 5 29 / 10Ji 3 patch 10 00 2 1 rs.Town Shovel @ 6.50 13 00 2 1 rs.Trucking @ .7~1 50 1 r r.Trucking 3 00 1 1 r.Rodgers TraileIr>3 00 167 07 LRor Idh~",y;J//;?":/~-'//::::.,:;7 H.B.N.18501 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 ofSelectmen. Am't of estimate $ . Am't Paid $. .Owner Sketch of Service Here I I I I I I I I I I I I I I I I I I I II I I,I I I I I I I I I I II I I I I I I I I I I I I I I I I I I I I I I I I I Connection made in.. . . . . . • . . . . . . . . . . . . . . . . .... . . .Street. Remarks: I I I I I I I I I I I I I I I I, I I I I I I I Work completed 19..