HomeMy WebLinkAboutSIMONDS RD 103Name
Address
R.H.H2.ynes ,'.Service No.96 ~)j.t.l
I 03 S /m tl-'JL~__7?t:J a d.__L.ocation _l_03eJ13onds.Road
Kind of Pipe
~X"Vr*li'Jt.-New Service
S•./~"S'f u·0 "Ise fQ _Ise 0 lYIalnD
Location
~.hrs.Truckin~l@ .75
1 hr.Hired Shovel @ 7.00
Date
11/10/4*'
11/11/4'"
11/13/4'"
Material
Labor
b..0%Overhead
60'6 11 Sewer ~ip
1 6
lt Elbow
Joint Compound
Patchin~.15x3
Labor
o~~/I ~~I/Y'?
Amount
4 140
46 184
36 ISO
Tot~Date
II!,r/91
/iil/,II</7
'"
t,/).-~/c,Y
lO/..I ,~~/;----b
I~/__~,~
t1
C~~
Amount
/..:57f I tJ<1
910('7
)'-10 17.t
un £:"11
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .....•.•...•••••.•••••••N·O.•••••••••
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 ofestimate $ .
Am't Paid $.........••....•
. . . . . . . . . . . . . . . . . ..... . . . . . . . . . . . ...Owner
Sketch of Service Here /0 '-~
I I 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 l I ~1'10'I I I I I I I I I I I 1.'61 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 I I I I I ,I I I I 1"'tI I I I I I I I I I I I KI 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 I I I h.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 I I I If\!I I I I I I I I I I I I I '"I IIIIIII I I I I I I I~I I I I I I I I I I I 1 I I Iml I
I I I I I I 1 I I I I I I L I I I I I I I I I I I
I I I II 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 I I 47 ~I 11 I
r5'1 ;..,,..,0 n tIF 7'1~-
Connection made in ...................•..........Street.
Remarks:
Work completed 19 ..