HomeMy WebLinkAboutWHEELER RD 19::~;ft$,i;:4449_-"~,,=.-~.=:-::::---~-'------'--;--.~,._.'.~:_~T~-.,-_~.~--~-,-~-----,--_oc=-~•...••_.A.-':;;z,........~_~
Name
A4c1_s
DeVr:l.••CO.
Location
S.rwice No.~_.&-.-...••
Kind of Pipe Sin 6"Sin of Main f"I
••FiII'''·k New Service Location i
Date Material Amount Total Date Amount
,n c'l.TV<::!on ..T T.".'"l'lV .~~~i I
88'i
-
I
,•!
i
I
I
I Labor T-,
i
I !
i
HP-969-4 1 •J J
-~_..---,
TOWN OF LEXINGTON-DEPT_OF PUBLIC WORKS
SEWER DIVISION
i '.ft
DATE...••.•.•_. _. .__••_•NO.__.__.._. _
The undersigned appIies for the construction of a particular sewer connecting No... . . . . . . . . . . . . . . . . _. . . . . __.
Street and hereby agrees to comply with the Ru les and Regu lations gove rni ng the construction a nd use of Particular
Sewers.as now or at any future time established by the Boa rd of Selectmen.
Am't of estimate $....__. _..
Am-t Paid $._. _.._..._. _
...._......_........__.._.._....__Owner
Sketch of Service Here
I I I I 1 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
, , , ,,I I I I I I I I I I I I I I I I I I I IJ I I I I I I 1 I
I I I I I I I I I 1 I I -I 11 r I I I I I I I I I I I I J I I I I I
11I1I111111111111111111111111111 U...,.,.,.1IIIIIIIIlII111ILJ 11111 !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
,,,,,,,,,llllTllllllilllllllllllll
, , , I ' ,'I 'rTTTl 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 II 1-I I 1-I I I I
I I I I I I I I I I I I I I I I ..U-IT-II-I-I-I
l,
Connection made in ___Street.
Remarks:
~-----
Work completed..,_..19..