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HomeMy WebLinkAboutBALLARD TERR 2Name Address Kind of Pipe 2 Rml lard 'l'errace Size Location Service No. Size ot=Main ~~NewService Location Date Material Amount Total I Date Amount Dec.1 9 ~,'L.,61 1 -T'TsnAT 'Y H.:D BY I)E\7'LOP ~R..L.U'l.,...Ll\.1 ~L.i...;."I ,j, I Labor HP-7919 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 Se'Wers,as now or at any future time established by the Board of Selectmen. Arn't of estimate $ _ ,.. Arn't Paid $. .,Owner Sketch of Service Here I I Connection made in RetTlarks: I !! ! Street.Work completed .., , . , . , . , , ,.."19..