HomeMy WebLinkAboutWACHUSETT DR 30Name t 3~:5
Service No.
Address
Kind of Pipe Size Size of Main
R~PJtir-Rc:mewal-N~w ~rvice Location
Date Material Amount Date Amount
.21 So120I~~'~43 ~Q~i.o.c:L
10 75
3 75
30
I 50l'i'G
$21.0
2 m;s.@ 60¢'
43'3/4"C.Tubin ~'25¢
1 3/4D Cs3/4".W.H.S.W
1 3/4"X itt Bu hing
2 brs.trucking 75¢'
Flat Rate:
431 @ 50¢'
Labor
~j ;J:i.-TOWN OF LEXINGTON-BOARD OF PUBLlCD:O~<f·(j·J!Y•
WATER DIVISION ¥71?f"
The undersigned applies for a supply of water at No.3fJ )f-~L St.and hereby agrees to
comply with the rules and regulations as now,or at any future time,established by the Board of Selectme~.
Am't.of Estimate $p,...j~
Am't.Paid $_
Owner
Address
KtU%AJ~
.3,f Xa./ld ~.
Sketch of Service Here---.
lIIIIl(~~1--IJ ....Itf1
\..,...-,.-"~
.~"tl~
~~,ii""'o'~~•,
Connection made in Street.
Remarks:
Work completed _19