HomeMy WebLinkAboutSIMONDS RD 107"";,Na",e Winfred J.Smith
Add"_107 Simonds Road
10 7 S "Mf)IV d.s 7?f)a d.
KIIMI of Pipe
~~Hew Service
$i.e~,t
Location
Service Me.69
Sise of Main 1r "
Location Co,,",""--\\-_'-0 -58'
Date Material Amount Total Date Amount
""_'''''_F;~IT.ehn'!"156 06 .5'-/.y'-.-5X
c/o,'",;/,.5c 00'"77,..../J<:/'/?
10%O.H.15 61 1'71 6'7 ~~~-55 *////h'Id'~
30 6ft Transite oioe @.70 21 00 .-i 5"~~L/
8 St.i~kFl DvnAmit.1"!fa .?~2 .OA
4 B1ast1n~Caps @.285 1 14
1R Rtf flQFlt.TT'nn nirII"!{(in .AFi ?Q ~()
3 hrs.Town Shovel ~n.50 19 FiO
~Ih'!"'""""'nO'tID.r;~<;>I<;>r:;
2 Ih'!"'"'",,,,,,,n'!"ra lrz,00 ~()()
1 I hl"_TT -\.ra>~.00 3 00
or:;a lOA
LaI»or
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H.B.M.1B501 I
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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 $..,..J ••••••••••
•••••••••••••••••••••••••I t,'Owner
Sketch .of Service Here
I
Connection m.de In .......•.......:'.. . . . . . . .... ...Street.
Rem.rks:
Work completed 19..