HomeMy WebLinkAboutTAFT AVE 5;"'7
-.Name Ham'ji;.;Iohpspn _~~~_~_.~~_>_...f\mi<e No.re-C;;5/
Address '_'.'H_~Q!O M@~""AffiZ Arl.ingtQa·~.._~_:--~_::...i~:..r'1'ir~l~;4"e ..____......_-.s..TArf....>I1f.~.>--.-_.....LoeatiQ!1:.j&t.i~2:.~§.ft_A_Yen1ML-=:::.-L.~.!:?:L~__._.__
Kind of Pipe ..,.._..__Size'"....~.Size of Main-iiI'.__._''''_
_tr"'iidP'U'X'=-New Service . ....._~ation
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Date Material Amount Total Date Amount
,~'!...s.trUr'pJ.p,e····1·$123:J.n.~;__~1'b\W.~-,MlL.~::»
.".._..'.fruck1n&..$lJ 7o~~-I~"rp¢'-c~v·.'j~~....~.
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I::~~_L~_\1JE~t::ted Gost:tle 60 $151 60 ..._...-+-~-
....
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,.....,Labor .L....11 _.1.•••+I I----+1--"TI---..+f II '---"-".-'-c~-r-""""·---··-~"'··-·T·"'·.
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4o~e LEXINGTON-BOARD OF PUBLIC WORKS •
,t:k.~).~/0 ¥-SEWER DIVISIO.NDATE__9,._,_L'3_.NO.---.....-----.._
The undeGgned applies for the construction of a particular sewer connecting NO#"IZ T~~
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 $~Sl ~()
Am't.Paid $_
Sketch of Service Here
Connection made in Street.
Remarks:
Work completed _19