HomeMy WebLinkAboutSUMMIT RD 2Name Carroll Taylor .~~s.ervice No.-5A LQ 6".//
S1-
__Add!ess~_-4-SlJ!lltnl'l;__"ROat:!...___...~...2......------.--- -.,----
I.ex1ngton ,Mess.2 Sum';'i7 ?rJ..Location .~..~YlY ..Q..i'_.".'....i.'.:.l"~·.•·.•.....LL-..~i."'t::sifiui.l't]Qad
Kind of Pipe /'~,.(7'"Size fQ..SI$e of Main D
Location_~MISIl:-New Service .-.-Date Material Amount Total Date Amount
)A~~,11~_C'
)A~Q ,.f1 T.ehn'"S1R 114-Sl R 14-h(J1Tj4 /¥(.~,.,J..,.~.I '12J-')0
10%'Ove rhead 51 81 ~.'-IF}f--~~'?)(/.1 .'13')lj-
ll.'-CIA.,Cj t/.j
11RO'_nrr C"_....._p OA (a)9..C;~4-~hA ::l '!l!S!Ol"18 hT'S!.tal?.'7S 49 50
1 -6"Elbow f70 ."'..••y .0'2 hl"R.@)~.00 n 00
1 _~n 'RAn rt ~'7 11fl,..",,1riY 10'9.':>h,...a I@ .'7f1 1~flO,-
Dement 5 ba'ls 4 DO 914 25
SOO Rl""~k-A ;;!=\
)
tL~.'7~rpnT'lA L -a.vdl 6 50v.(1)
4 t:n'OA of'R1~A -A 00 .'
n.,......l-.4""...a ....'7 9.1 on-I.Labor'RA11 -,l1 1 A h""a !!la ('h 1 ~9.!00
~lovlng .....II 15 !00
un I:.A11
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ........••..••.•••••••••N·O.•••••••••
.
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 $.............•..
.Ow'ner
\
Sk1J'iibof ~~~e,2.
I I 1 I I I 1 I I \1 ~I I I ~lj""lll I I I I I I I I I I I
I I I I I I I I
I ~~.1-+T J~I 1 I I I 1 I I I I I I I I1"""...,.."l'o.."'"
I I I I I I 1 I I 1 1_rl~~I vI'I I I I I I 1 I I I I I I I 1
I I I I I 1 I I I r I I I
~'f.7'I>....1 I / I I I I I I I I I I I I I
I I I I I 1 I I I I rt'"I I ~.,I I I I I I I I I 1 I I I II 1 I
I I I I I I I I 1 I I I 1\1 I 111 1 I I I I I I 1 1 I I I I I 1 I
I I I I I I I I 1 I 1'1 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 1 I I 1 ! I I ~\I I I I I I I I I I I I I I 1 I
I I I ! I 1 I I I I til DI1 I I I I I I I 1 I I I 1 I I I I III 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 In!1 I I I I I 1 1 I I I I I I I I I.....,I 1 1 I I I II I I I loru(?1'/.f7~7 I I
)!.IIIIIII¥""'PI 1111 I.....
Connection made in Street.
Remarks:
Work completed 19..