HomeMy WebLinkAboutSIMONDS RD 139"ame ..S . N,Mrs.Walter Johnston ervlce 0•.107
'.Address
Location
Kind of Pipe COM.8-30-54 Size'"Size _o!_~~~n__~"
~~~~I-New Service SERVICE WAS IN TO QURB:Location
Date Material Amount Total Date Amount
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7 12 1C;h cI'-dR
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11 n~OUPT>h AAift f R':\7~l?~2.A?'9 AT>
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),b'_ott SAwAr Plne @ 0 l~Bo
.I,d n t.Cnmnnllnn ?70
2 Hrs.Town Shov el @ C;.CO 1n on
2 Ers.TT>llt:kino-@ .7C;1 ~n
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Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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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 $.
.Owner
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.Work completed .................19..
Remarks: