HomeMy WebLinkAboutSIMONDS RD 78Name Charles Roberts
Address 78 $1 mends Roa.d
Lex1ngten,M:B.ss.__~___Location 78S1monds Road
Kind",f PiI\A Cam•.Tune 1.19M
D~wm-NewService
Service No..iJ J
Date Material Amount Total Date Amount
Mav ~'Lla La.bor ti8 h.1 12l,I,L,~'41 ~.fOJt i.l /1-0 bo
h.It 20 17 t:.R 160 l<.1A/11L /?.-</1 Q~.//.1 dl-O,,?
10~Overhead 6 87 t/';1
/£J /79
c;O'-6"Sewer Pi pe @.26 11 00
.To1 nt.Comnonnd 1 ~OO.Littlefield ShOVE 1 2 hI'S •@7 .00 11.1-00
Trucking 2 hI'S.@.75 1 t;o
Patching 15 x 3 ',..t:;00
121 07
Labor
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un t:.-I11
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
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Connection made in ...............•......•.......Street.
Remarks:
Work completed ...... . •. . . . . ..•19.•