HomeMy WebLinkAboutSIMONDS RD 91Name KAYl'nAth "F.C1s.:rke
Address 91 Simonds Road
Service No.~'l,
LexlngtJ.:ln~__Masfi~__~~cation 91 Simonds Road-----------------_..--_.---_...~_._---_._._.._.-,;;-
Kind of Pipe Com__Jnnf!_~~_19u8
·~.,x..New Service
5·6 ~J S·f I.JI.0 1/Ize Ize 0 .aYlaln 0
Location
Date Material Amount Total Date Amount
A.nT'?O 'llS Ls:lhnT'~c:S'2 ~C;~,!;ILI a '~p ~J_/,/J/J 00
10~Overhead ~C;C;t\)A<.f>/f q~.lJ .7d </3
"C;O'-6"Sewer P Lp6 @.2c 1~cI ;I CY?o"/J00
J'nin+.C ..:l ~00
L1 +.+1 .:.f'i .:.1 rI Shrw 11 "l.hY'!=.@7 ioo ?1 00
T:rucking:2 hrs.~~.7C;1 C;O
Patchin~20 x 3 20 00
97 r:;7
Labor
I
TTT\£A'f'l
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .....'.'..............•..N·O.••••••••.
The l:'ndersigned 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 $.........••....•
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Ow'ner
Sketch of Service Here
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Connection made in .............................•Street.
Remarks:
Work completed .......•.......•19..