HomeMy WebLinkAboutWHEELER RD 9~.."::"""~_,.__:--~._--.-,-O---~-__---~-_.---~-- ---_.,-----~.~-"..•,,---~,
Nallle DeV:!'"1-••Co.Service No.
1AcId....Q Whee]e~d.9 WIe.e t;-r 710 «rJ.Location I
Kin"of Pipe Size ($,.,Size of Main r"!........RiA ..~N_Service .LocatioD
Date Material Amount Total Date Amount
100::1.INSTALLED BY DRVE LOPER ,
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Labor I
HP-969.4-
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TOWN OF LEX/NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .•...•..•••..•.•••.••••••
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NO .
The unders;gned appl ies for the construction of a particular sewer connect;ng No " . . • . . . . . . . . . . . . • . .
Street and hereby agrees to comply with the Rules and Regulations govern;ng the oonstruction a nd use of Particular
$ewers,as now or at any fu ture time establ;shed by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . • . . . . ...Street.Work completed.. . . . ••..........19..
Remarks: