HomeMy WebLinkAboutBEDFORD ST 110Name Service No.
Address II 0 J3 e,cL .f1 0 v cL s r Y"e eo T
Location
Kind of Pipe
Repair-Renewal-New Service
Size Size of Main
Location
Date
J 1-/0·3..3
Labor
HP-6411
Material Amount Total Date Amount
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
f SEWER DIVISION
DATE .._.<..,:i;/J.f;.2t../f~¥.j(-,It'!/'NO,..••••";.'
The undersigned applies for the construction of a particular sewer connecting No..((.~.Jj.d<.>-df:"j....di,
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use or Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Arn't of estimate $ , .
Arn't Paid $,.
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Sketch of Service Here
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Connection made in .........,."............."..Street.Work completed ...,............19..
Remarks:0 V"'~CJ ,.IV a./S€.J'f'vice.)2..-2..8-33