HomeMy WebLinkAboutWHIPPLE RD 25.....,......,..~"-~--.--_._--
Name
Addnrss 1125 Whipple Road
Kind of Pipe
..-.-.-_t··--_.--~-.--~-~.---~•.-'-.-....--......-4 -••:"'~_-.,...-...__.'"'""
S.~vle.iastAlled by develope~-
Senice No.
./U t7'~SIze 0 Sin of Main 0
AbJed"U,T'...,..New Se....ice Locatioft
Date Mater;al Amount Total Dale Amount
,
:
-
.
Labor
.,HP-641l '----,----
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
D1'ITE .•.......•...•.••,......NO .
The undersigned applies for the construction of a particular sewer connecting No......•.........,.•...., , .
Street and hereby agrees to comply with the Rul es and Regul ations governing tf1e constructlon and use of Pa rticula r
Sewers.as now or at any future time established by the Board of Selectmen.
Am't of estimate $ ,..
Am't Paid $....."..., :....
..Owner•••••~.~••••4 4 ..
Sketch of Service Here
I-I 1-I-I -I-II I I Iii I I I I I I I I I I I I I I I I I I 1-'-
LU_I_LU_I_U I I i I I I I I r I I I I I I I U_I_U_I_I_
.I I I ILl_IU _I LUI U I U lUI 1_1 I U I U I I~
-1-:I !I
1-I-I rl-I-I-I-LU L11 L U L I I 1 I I 11-111-1I I
1-I-LTI L I I t 1 -,'-I-II I I I I I I r II I I I I I , I
I I '-II L II L I I [ I [ , I I I I I I I I I j I j I 1 I 1.I-lil-n r-IIT-I1-1-11-1-1III 1111-1-11111 I
I I I I _I I III U I I I I II 1 1 I I I I I In I I I I I I
I I r I L I I I I I [ I IJ I D iJ II I I I [I III CD C
Connection made in •................, , , , .Street.
Remarks:
Work completed 19..