HomeMy WebLinkAboutAERIAL ST 2Name
Address ()/I{f Tree.
Location
Se~ice No.2
Kind of Pipe
Repair-Renewal-New Se rvice
Size Size of Main
Location
Date r Material Amount Total Date Amount
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Labor
HP-6411
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .................•..••••NO .
The undersigned applies for the construction of a particular sewer connecting No .
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Arn't of estimate $.
Am't Paid $.........•......
.Owner
Sketch of Service Here
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Connection made in Street.
Remarks:
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Work completed 19..