HomeMy WebLinkAboutBEDFORD ST 12Date
Name
Address
Kind of Pipe
.Renewal-New ServiceRepau-
Material Amount
Location
Size
Total
Service No.y~
/L'~~,../dlh-a/.
Size of Mam
Location
Date Amount
)
,;fd5>(,5
I-~-!:'GJ
I
IIII
II
(I
Labor
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE _NO._
The undersigned applies for the construction of a particular sewer connecting No.~a~.....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 Boal'd of Selectmen.
Am't.of Estimate $_
Am't.Paid $_
_Owner
Sketch of Service Here I 2---1
I
I
!-4"141l..?L~10-0..I
l-il /.v 17 j V '""I "'"...IL.'}jI.
Connection made in Street.
Remarks:
\Vork completed ___19