HomeMy WebLinkAboutBEDFORD ST 11 - 13Kind of Pipe
Name
Address I /bL /3 AJ'Jd/d7c-/~.~Location
Size
Service No.~/
//-r /3 .B~~-r/c/'~ee/
Size of Main
Date
I-New ServiceRepair-Renewa
Material Amount Total
Location
Date Amount
Labor
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO._
The undersigned applies for the construction of a particular sewer connecting No.//Y-/3 &~L cf)L.
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
19Workcompleted_
Sketch of S"rvice Here I .3-
I7l"J ::7,
,
I
I 1\.......H
rT ~
JV
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"1
,
...r~........+"~1.1'"P'....~l ~l-I......f·...
"'"7 ;toe'0;Connection made in /i?__00_~Street.
Remarks: