HomeMy WebLinkAboutBEDFORD ST 22 - 24--e Name
Address
Service No.
Date
--g...
Kind of Pipe
Repair-Renewal-New Service
Material
Labor
Amount
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I--~
II
II
It
I
I!I
Size
Total
1-
I
Date
Size of Main
Location
Amount
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO.._
The undersigned applies for the construction of a particular sewer connecting No.2~~J tl)!
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 2 2 -+Z 4-
I
I I
I
II
j I I
r /.512 ~~."7 i
"'-I---.//l{lIL,V fI;....,
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Connection made'in Street.
Remarks:
Work completed _19