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HomeMy WebLinkAboutSIMONDS RD 36Name May.S.,Stone Sel'Vice No~%//el¢ Address 3 ~S ,'m ~NcL ..-c_Jrt:J ad.. Kind of Pipe ~New Service Location 36 Simonds Road Size ~I'Size of Main f " Location Date I Material I Amount rov.24 I'471Labor I 51165 ?!')I ILabor I 3180 10~Overhead 54'6"Sewer Pip~@ .26 Joint Compound IHiTed Rhnve1 3 hr~_7.00 Compressor 1 hr. Truckin.g 2 hrs.I @ .75 Patching 15 x 3 Labor Total 55 145 5 155 14 104 3 124 21 100 1175 1150 1.:1.5100 11 '71 !')~ Date VnAfll.lold71i2L ....A7J·~L L01-£.3(147 I&L__.J'~f 7 Amount /..(...:>-Jo-z, 7'1~T //7 Is.3 c;.,,"'JI)./~1IlL '; un ~"11 r-7-~5 5-/-~b I~T5 Pf)P/$ TO,.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 tbe 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 'Ref. Work completed 19 .. Sketch of Service Here ~, 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);1 1 I I I I I I I ,#J 61 I 1 I , 1 1 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 ...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 101 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 t:l I I I I I I I II I I I I I ~I I I I I 1 I I 1 I I I I I I tl I I I I I I I I I I I I I :\S 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 I I I I I I I I I I I I I I I I I I I 1 I Ir{)(..I I I I I I I 1 I I ~De""/(Ie,.. Connection made in Street. Remarks: