HomeMy WebLinkAboutBEDFORD ST 111Name Service No.
Address III BEDFORD ST.
Loeation
Kind of Pipe Size Size of Main
Repair-Renewal-New Serviee Location
Date I Material Amount Total Date Amount
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-Labor
HP-6411
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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 $.
••..•..........'.'...........•...•..Ovvner
Sketch of Service Here In FoR Jill'
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Connection made in Street.
Remarks:
Work completed ,19..