HomeMy WebLinkAboutSLOCUM RD 7Name Carme10 Gr1ngerl
Address 7 S locum Road
Service No.154
7 5 I 0 c:.'"fIlL.._~~cL ..Locatio~~~£1'.,/...6-:Z
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Kind of Pipe
R~wwei New Service
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Location
Date Material Amount Total Date CURB TO MAIN Amount
:zi-lR-f17 ,£'I hnl'"58 07 1abot'30 98
10%overhead 5 81 ",.,..........r..v .......,.....~Oh ..~;Js:/~-z52'6"TransitE @.7020 36 50 /()-2-..3 ~~-t o 06hrs.'I'own St oveJ.<$6 .50 3~00 '-/-:2--9-~-7 r~k yg'c;>h""o ,j.."",,,,,,lr4 t'N'(iiJ '7!=\c;n 'x S
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15 00 /tPdA~J~Ivj/(y-h '~/0"<5"8"%15 x 3 patch ':L 2-
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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 $.
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Sketch of Service Here
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Connection made in ...................•..........Street.
Remarks:
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Work completed ...........•...•19.•