HomeMy WebLinkAboutSYLVIA ST 21Name
,".'
B1:)J.Gott Service No.148
Address 21 Sylvia St.,Le_Jd.ngton
Mail:135 Charlton St••Arlin,gtQo.MaSB.Location
Kind of Pipe
~.ft-New Service
Date Material Amount Total Date Amount
~
9/19/5 Labor Ql ()?7-/J:.--v1/J~""~o>{/./).;-b-t?~;j
1096 Overhead
.//P:AJP,~r/~//ia <;-9 10 100 12 //...J /--.r c-/!\.....:.--
58'-6"Sewer "]:>j TlAti ?-:9 18 5R /.;;7 19/
Joint Compound ;3 4A.
15 x 3 Patch 15 00
4 hrs.TownShovel~5.00 <;)()()()
1 hr.trucking @.75 75,
157 91
Labor
un t.::A11
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ..........••.•••••••••••
'F'
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 I I I I I I I .\I_LI I -'I1 1 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 I I I
I I I I I I I I I I I I I I I I I I I
I 1_IJ I I I I I LJ 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
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 ,
Connection made in ..............................Street.Work completed ................19..
Remarks: