HomeMy WebLinkAboutRICHARDS RD 22r
I
,Namee'·····---
I Address
I
w~ter G.Black
Location.-~--'.",..22 Richard Road
Service No.
Kind of Pipe Size Size of Main
Date Material
2 hrs.@ 600'"..•..,.••....".•...,.-i...-,
10%Overhead
46 f 3j4ft Copper
1 314 ft C.x!"I S.
1 hr.trucking @
Amount
1 20
12
ubing '..19
w.
75t
Total
1 32
8 74
2 25
75
13 06
Date Amount
Labor
t·
DATE----------e
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
WATER DIVISION
The undersigned applies for a supply of water at No.St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectmen.
Am't.of Estimate $ _
Am't.Paid $_
Builder _
Owner
Address
Sketch of Service Here
L
In .....
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,
Connection made in Street.
Remarks:
Work completed --'-_19