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HomeMy WebLinkAboutSHERBURNE RD 34Name Gilbert G.Barclay Service No.101 Address 34 Sherburne Road 3 4Shf.rburN e.7t1ari.Location~,j/-/9-0~t Kind of Pipe ~New Service Size of Main !II Location Date 8/28/~6 Material Lalbor loi~overhead 62P -6"Sewer pipe I@ Amount 1.1.1 190 4119 .1.L~~ Total 46109 28/21 Date rF-/-~-{I~~~ /1-/r~j.s-'I ~~_--/j) I Amount 1/ I?<3 C70lcs 0 "----/t'''1J7::>-- /031/Y Joint compound 4 e/3 hra.Littlefield Shove!l@81Ic)o 2 bra.Trucki~@ ~~c) 1.U3 patching " Labor j!72 39166 1150 Ih.IOO 133118 " TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE ,iloilo •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 I I 1 I I I I I I I I 1-'I J 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 I I I I I I I I I I I I I I 1 I I I I . I I I I 1 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 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 I I I I I Work completed .•..............19.. 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 I I I I I Connection made in ..................•..•.....•..Street. Remarks: