HomeMy WebLinkAboutSUMMIT RD 11Name StalJUy l'haJ.4n
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Service No.11.
Add~s 11 S~it Road
II S u m~r 7?"ado -Location
S•~./I~Kind of Pipe I~~
•••EaUD-New Service c1~.o~3/J7
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11 Summit Road
Size of Main [_1_'_
Location
Date Material Amount.Total Date Amount
'/~,1C::1 Labor_I I II ,8188"J-/q -l:>-/I d,AJ'..r;~//.';;-/11~
__LIIO(Overhead 1 -LJ 3~-"A'-4/
~68'_6"Sewer Pip~••3wW .II 2ll,qll
1 -6"Elbow I I II 1188
Joint Compound I I II h.1 08
8 Hrs.Little£ield Shove!"56100 .
2 Hrs.Truckin.Q:I I II 11 50
Patching 20%3 I - I II 201 00
·1ltQI62
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
1 I 1 1 I 1 1 1 I I ,.I 1 1 'I I I 1l'1 I I I 1 I I J__
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I I I I I I 1-I I 1 I I I I 1 I 1 1 I 1 I I I 1 I I I 1 I
I 1 II I 1 I I I I I I I I 1 I 1 I I I I I 1 I I I I I !I
I I I I 1 I 1 I I 1 I I I I 1 I 1 I I I I II 1'1 1 1-'I 1-1 I 1 I I 1 I 1 I I II 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 I I I I I I I I I I I I I I I I I_
I 1 I I 1 I I 1 1 1 I I 1 I I 1 I I I I , I I 1 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-LL
I I I I 1 I I I I I I I 1 I 1 I I I I I I , I I I I I I I I
Connection made in Street.
Remarks-:~.
Work completed 19..