HomeMy WebLinkAboutBALLARD TERR 11Name Service No.
Addre"11 Ballard Terrace
Location
Kind of Pipe
J{~-New Service
Sise Sise of Main
Location
Date Material Amount Total Date Amount
Dec.
HP-7919
58 1 -Il'S'IALT:S D BY FS\irgLO,ER
Labor
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 agree~to comply with the Rules and Regulations governing the construction and use of Particular
Se\Ners,as now or at any future time established by the Board of Selectmen.
Arn't of estimate $.
ArY'l't Paid $..
., . , .Owner
Sketch of Service Here
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Connection made in
Remarks:
Street.Work completed . . . .... . . . . . . ...19..