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HomeMy WebLinkAboutSOMERSET RD 47Name Ge~~me:r>Y Address }17 BDma~Bet~ Lexington Kind of Pipe 1JOmt~4Ml:XWJJ-New Service Com.12-29-52 Location Size ~H Service No.1 B0 Size of Main ~1/ Location Date Material Amount Total Date Amount-----... 1 ?IR Ir::.?T,oh",,..,77 17 I/-.,ILl ..,J~//),/2/f c:-~~/('f~~ 1')/O/c',2 T,~),.,.~""70 ~l ,/-2--7 l...7~~,'/(/c:J 'c3 ~r '- 1 ?!l n Ie:::.Labor J'l ~o l';;'/c:J .?-:l- 10%Overhead 19 09 209 96 1 C:o'_r::.rrq.",,,,,,,,..,I);l"I ,rev ':l.L?c',l ~o .T,....;nr.r.-,q 00 ')00 ("<Rr:lck ~~'Lr:',r:',C 7 10 2 ),6 l~/// ')Rap'~r.@l 2~r'"",...T /2.-.1.L.•..!:I-.... 14 , 2 Hrs.Litt1efie d ShOVE 1.@ .00 00 2 Hrs.TruckinlZ ~~.7 r:',1 ~O Po+-n'h~n,.,.11::'v ':l ,c:("1(\ '-'./...- Labor 'i10 'i2 TTn rA1" 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 '1 I I I I I ,I I I I I I I I I I I I I I I I :-1-)-1+-'-+-!--+-~-+I-+I-!-t-+-+I'-+I-+-+-+--+I--!---!~II I I I II I I I I I I I I I 1 I I I I 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 1 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 Connection made in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street. Remarks: Work completed 19..