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HomeMy WebLinkAboutSIMONDS RD 66Name Address Thomas ftbster B£_SimondsRoad Service No.150 66 5J ~AJd.s 7?oacL Kind of Pipe Location Size ~J#Size of Main i'II ~New~rvice 00 M.IO-5-53 Location Date Material Amount.Total Date Amount Q h ()/5~T.l 'ht'\'V>40 25 ,;:-/"/.-S!1 ·/1 ~/J.~"y;c//.~- ()~/'02/2H~/(d ')pt/""4 03 44 es ./~-,1-31.? /'"-./ bO t -6"sewer pi]:e @ .30 ~6 15 S ./...:2 ,..2 9(.. '1l'l"nt:'"3 00 6 hrs.Littlefielc shovel (f!J7.50 45 00 2 hrs.trucking ~.75 1 50 patching 14 x :3 14 00 122 96 - Labor .._......-4... 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 $. .Owner 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 I I I I I I I I I 1 I I 1 I I I I I I I I i-i I I I I I , I I 1 I I ,J II 1 ,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 1 I I I I I I I I I I I 1 I I I Work completed • •. . .... . . . . . ...19.. I I I I I I I I I I IJ 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 I I I I I I 1 I I , I II ,1 I I I I I I Connection made in Street. Remarks: