HomeMy WebLinkAboutTYLER RD 36~------$...'ft1'1~"t"'~'-~-"""--"-""f;-.....,"~~Name
-Se~o.~IMti116d~by deveibp.~
Serwice No.
'-"""!"'!"',....,..--=---,-..,~.-.,-;t
~
Address #36 'l'yler 1ioe.d
3"Ty Jar 7fo a de Location'
Kind of Pipe Size""Size of Main !..
Loc::bJili<xlLKX"<IW New Se .~-----~-----
Date Material Amount Total Date Amount
.
Labor;
.
.
.
.
HP-6411
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .................•.•.•••NO....•••.•.
The undersl gned applies for the constrL./cti on of apartiwiar sewer connecting No......•. . . . ..•..•.••••.•••
Street and hereby agrees to comply with the Rules and RegL./lations governing the construction and L./se of ParticL./la r
Sewers.as now or at any fL./tL./re tIme establ ished by the Boa rd of Se lectmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of Service Here
I I I I I I rl I I I I I I I I I I I I I I I I I I I I I I I 1 1
IIIIIIIIIIIIIIIIIIIIIIIIIIIILLI_I_I
: I I U I LI 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
II 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 -1
II I I I II I I I I I I I Irl I II I I I I I 1111-1
I I I I I II I I I I I I I I I I I I I I I I I I I I I I I1"1 I I II J I I I I I I I I I I I I I I I I I I I I -1"1-'1
Connection made in .............••..•.•.........•Street.
Remarks:
Work campieted .•. • . . . . • . • • . ..•19..