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HomeMy WebLinkAboutSHERBURNE RD 13Name .Tn~Anh Ch i ~h n 1m Service No.IIir-~ Address 13 Sherburne Road /3 S ~.-r hu yo N e.7?JJ_ad- Kind of Pipe Size 6 ~" Location Size of Main g " RepakiBlAeDDlaI-New Service COM.8-30-54 Location Date Material Amount Total Date Amount~ 7 /?'7 /c:'l I.....",...'"1 ':I ':In 7-9..,",-"'/(/~fMC >://7K /Y--z' 7/28/C;L Labor A7 A1 Rn 01 00 -.;'.tJ ~~-~·~/M~/#1/#t?P 1 nc10 O'TA"Y'hAAr1 R no //et 1/'fp r::JI _1')"SAWA-r>P·i nA ((j)I~n If)?n. 1 _fl"R,lh,...",1 RR Joint Comnound i 2h ;;V ~?<~-:"/..3 /nlt?~/?l&>.e.-""~{ r::O r::?t::n ~:/~:~~,~7 IT's.Li t.t.1 Af'i A 1r1 Shnvel 7 '9AP..&'t .A--o: @ .7r::r::O ~//.~~".,.f P<'-:d../,v~2 HT's.TT'uckinQ I ......-"..h".-.V' 1 f))I ~? Labor I--IP_OAOA 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. Arn't of estimate $ . Am't Paid $.........•...••• .Owner Sketch of Service Here I I I J I I I I I I I I I I I II , Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street. Remarks: Work completed 19..