HomeMy WebLinkAboutBASKIN RD 21-Name Lexington Development Corp.Service No.4
Address 21 Baskin R9ad
Location
Kind of Pipe Size Size of Main
LocationRepair-Renewal--New Service #''"7
Date Material Amount Total Date Amount
~-?c;-c;Q T.AhnTl ?()00 7-~]-:.,;"')~';~;'-/7~;-s /'//--//c
10-t 0 1-1"?1()?":l.no 1-P'.;r-d9 ~L ~J $5
L
10'6n Transi te Pi-C3 121.70 ?1 00 _?C ~_?
1 22-§-o Transite Be ~d 6 21
1 111_°rp~~n ~;t:A RA hn ~10
1 HI"'.'T'rll~1Cin!J",@ 7""7<
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lIIbor
H.B.1,1-18501 I I
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.
Am't of estimate $.
Am't Paid $.
..................................Owner
Sketch of Service Here
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Connection made in ...............................Street.Work completed.................19 ..
Remarks: