HomeMy WebLinkAboutBEDFORD ST 23-e Name
Address
Service No.
Date
-e
Kind of Pipe
Repair-Renewal-New Service
.Material
Labor
Amount
Size
Total 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..£~£/
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers.as now or at ?ny future time established by the Board of Selectmen.
Am't.of Estimate $ _
Am't.Paid $_
Owner----------------
Sketch of Service Here 2..3
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Connection made in Street.--------------
Remarks:
\Vork completed _19