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HomeMy WebLinkAboutTYLER RD 21.,.,......,.~~~ Name .,.-....--T-~-·~.-_.- ----~.Servl!'!&fiiaIrlled-bYd;'v~lop&l"~~-~_c-l SeI'Yice No.1 Address H2~_"Tyler Road 2J T ¥--1 (!~7?b a.d...Location Kind of Pipe ~,.'Jf "Sin Siz-e Of Mai..., .1£ )."J'fYX"RU"Ii'W'iaJ New Service Location Date Material Amount Total Date Amount ! . . . Labor I --""-"---,. •1'-"" TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE ...........•............NO ........ The undersi gned appIies for the construction of a parIicuIar sewer connecting No.. . . . . • . . • . .••.•... .SIreeI and hereby agrees 10 comply wi th Ihe RuIes and Regula Ii (){lS governing Ihe conslrucIion a nd use of Particuiar Sewers,as now or aI any fulure Iime established by the Board of Selectmen. Am't 01 estimate $ . Am't Paid $. . . . . . . . • . . • • . • • . . . . . . • . . . . • . . . . • •.•Owner Sketch of Senrice Here I I I I I I I I I I I I I I Ii I I II I I I I I 1 1 1 I I II I I I Ii;I I I 1 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 lLU I J_J I I 1_1_11 I I 1 1 I I I I I I I I I I 1 I1-1-1 I I I-I-II 11 I I I I I I I!I I II I Il-I-I 1-1-'-1 I I I I I 1 r II 1 I I I 1 I 1 I 1 I I I i I I I I I I I I I III-I ill I I I I 11-1 I I 1 I I I 11-1I 1--11-1-1 I I I-I I I I-I I 1-1-1 1 I I II I I 1-1-1 I I 1 I I 1 I-I-II I I Ii.1 I I I I I I I r -- C .--"Street.onnee tlon mi;HJ.e In . .. .~.•. . . . ..•.••....•.4 •••••• Remarks:See.W<LT€r Car-dl..For-rye. Work completed .... . ...... •..••19 ••