HomeMy WebLinkAboutBEDFORD ST 149Lexington
Service No.
Size of Main
Location
Size
Name
Kind of Pipe
Address
Amount
Location
DateTotalAmountMaterial
\101571 overhead
Labor
I '\patphing 15 x
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)fiJai~New Service
Date
4 "I
4
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.
Remarks:
1
Work completed 19..