HomeMy WebLinkAboutSIMONDS RD 83Name Mrs.F.Sco~_C8.rpenter Service ,No.1.30"
Address 83 Simonds Road
____________=L~e~in~ton,Mas&Location 8j Simonds Road
It:"Kind of Pipe Size ~"Size of Main B'.I'
LocationCom.12-11-50*,.1d~NewService
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Date Material Amount Total Date Amount
1
DAoA 18 t C'(Labor 27 711 27 i7 11 4t1!/'o1'i'd U ~7A<o h./2d7:l 00
'1 net (-'In 2 178 /
"I Cf </_/.._"'"
~()t _6"SeWAT"Pime 1L 100 /.:?~!,..?/
.-
1 _,4"R1 h ...w ~61
.T""i T1 +:C -"~00
iI.i +:+:1 ef'ie1d Shove11 8 2/1 hrs 60 67
!'1',...,,,.,1Ti 1'10'2 hT"~@ .7r:!,1 ,;;'0
PAtchina 26 x ~26 00
-117 126
-
Labor
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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.Work completed . . . . . . . . . . . • . ...19.•
Remarks: