HomeMy WebLinkAboutSUMMIT RD 22N...q~I1~~::ld/A/Go/tl Servic.No./03~
/fM""/O?~&V/??/l1/-7 &~/I,/A/t/.£-/14/
~~r//V9''P64/~~5 Loation d~:5t//??$/7At/~4//VVE-/?etJ
Kind of Pipe SI..~/'Si..of Main ~h
l.pai,....;.l.n.waI--New Servic.Location
Date Mat.rial Amount Total Date Amount
11/00,;2/¥6 /~V6 r~
/~p ~t13dtV
J'to//S ()~/30/t.d ?v£
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Name ('{l"'a ce,Iohnson
Address 22 gummj t Avenne
Service No."24 !o.3!',.c
Lexington,Mass.22 Slim!')~7 1?rI,.Location 22 Summit Avenue
Kind of Pipe
~New Service
.,/~,S.,:e rD "'"Size of Main Q.._
Location
Date Material Amount Total Date Amount
?I'Jc CI C/
~ov.21 '46 ....'.-'--------+------j--1+---.-+---#-----:----+--+---~-----_t_---_I_-
2A '4A T,abol'"263 10 263 10 1J.-A Iu'J../t,(',)1J.-1 -IJ
1 ~~,-6"Sewer P1De @.:4 31 92 1
1 -6"Elbow '70
.Toint Gomnound 8 04
1 -Ball Of'CemenlG 80
'-J
0.omnre9l.!'I.or 8 hr~,.€U ..'75 14 00
389 3'7
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SE'WER 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
22ISketchofS~ice Here
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Connection made in ............•...•..•...•.•.•..Street.
Re";tarks:
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Work completed .......••....,.,..19••
DATE.~
TOWN OF'LEXINGTON _.BOARD OF'PUBLIC WORKS
SEWER DIVISION
Sketch of Service Here
Connection made in . . . . . . . . . . . . . . . . . . ...Street.Work completed ,.
Remarks:.
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