HomeMy WebLinkAboutSOMERSET RD 17Name RohAY't.FAno Service No.1j2
Address l'ZSomersetRoad
~ton.Mass.Location 17 Somerset Rca d
kind of Pipe Sin ~"Sise of Main LN'
"'.Jet-~New Service QQIl1L B-6-r5l Location
Date Material Amount.Total Date Amount
n_'1 _1:(,T.chl"'l"t'>27 r56 ~-,,~,,/~<-/rJfj~LA-'.,[./~t1 t7d
6-12-til Labor ll6 81 tf _./')":>YJ /~/"~F -</7
43 153
?-".
6.11-til Labor 117 92 ,'"'/",-/
1 o~0 -.'1.-,(1 11 80 -
,of...t _fJ It Q ~."--PIi n e @.1 ?67 01
Joint Compound 11 76
Littlefield Shoveb..20 hI'.@.7 00 140 00
Trucking 4 hI's.@.75 3 00
-1~1 t::,\ j !
\1)\\
'IX');~
\1 1
Labor
~../]...r 5"L f/Di$.~-;l!eJl1,S
:3-.;>~-t,J-SLvD ~E
I/J-/r-6~-tt:ors
~"'A.A
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 II 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
I I I I I I I I I I I I I I I
,J , 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 I I I I I I I r I I I r r
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 I I I I J I I I I I I I
I I I I I I II I I I I I I I I I I I I I I
Connection made in ..............................Street.Work completed • . • . . . . . . . . . . ...19..
Remarks: