HomeMy WebLinkAboutTOWER RD 331iff"0f";=;"C,~~",~~.~""._~......--.~---------~.--,-~-----,-.~_.._~..
Service No.
"I.
~_.__"":l":l 'f'..........-..'Rn:
Size of Main f-'
Location
Size'HKindofPipe
------'---7J ~~--~
3:3 Il:ftt;["wJ?a cL
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Repair 't'Hi4iiWJC*'fV!MH.T "6'''1;L ril',J Location,
Date Material Amount Total Date Amount
7-3/-2r
H'.,....5.&01&....1"J~"
2 ~.::a.AI./.S "mol t"t:r •..,,,1?,;
I ~•.,(.,.H 1fe J.u~e.,<::/?r::II I...T,"'.,"''''1 r:'/26./-I~L ,h"..<:;),17,
2u'-6'Se er Pine @.,\U2 8 2l
.,Joint Com ound Ihh,
Po ~..T.~.....,~..{~l'"~:rh",.~,fro?r::f\f'.('.on
h Hr.Tru dd n""ll.•7 r:;'\00•
;,<J,1r::
Labor
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HP~'969'""L j~-~--_..---~.---."---
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
...{...
DATE..•.••..•..•••••,••••••••NO..........•
The undersigned app Iies for the construction of a parlicuiar sewer connecting No... . . . . . . ... . . . . . . . . . . . . . • . .
Street and hereby ag rees to comply with the Rul es and Regulatj ons gaverning the construction a nd use of Particula r
Sewers,as now or at any future ti me established by the Boa rd of Selectmen.
Am't of estimate $ .
Am't Paid $.
..Owner
Sketch 01 SefYice Here
111111-1111111-11
11111 r-IIIIII-I-IIII
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1 I I I I 1 I 1 1 I I I I I I I I I I 1 I I I I I 1 I 1 I 1
1 I 1 I 1 II I I 1 I I I 1 I I I I I I I I I 1 I I I II I r
I I I I II I I I I I I 1 I I I I I I I III I I I I I 1 I I I
I 1 I I I I I I I I I I I I I I I 11 I I I I I J-il I I
I I I Il nil I i I I I Iii i I I I i I FR I 1 I I I I 1 I
Connection made in.. . . ... . . . . . . . . . . . . . . . . . . . . . •..Street.
Remarks:
Work completed.. ... . • . . ......••'9..