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HomeMy WebLinkAboutBEDFORD ST 235Name Address Kind of Pipe 235 Bedford street Sin Location Service No. Sisc of ~ain 56 ~-NewService COlYl.11-9-53 Location Date Material Amount.Total Date Amount sewer>iDe @ @ 5.00 Labor RP-7912 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 Sevvers.as nO\N or a1:'any future time established by the Board of Selectmen. Arn't of estimate $.._ . A rn •t Paid $.. . . ... • . ...... ._ ,, "Owner --- Sketch of Service Here I !I I I I I 1 I I I \I i I ,I I I I I I 1 I !,I I1 I I !I I I I I 1 I I [I I-I I I I I I I I I I I I I I , I I I I I I I !I I I I I 1 I I I \I !i I I I I I 1 I I 1 I I I I ,[I I I ,I I I I I I III, I I I I I I I [I I !I I !I ,IIIIII1I I I I I I I I I I !I !!I I I i I I !I I I 1 I I,I 1 I I !I I II t r I ~t I I L I !!I 1 I I I I I I ITI...,I I I I I I I I 1 r I t -~I i I t 'I .-~--I .~I Connection made in . ............, . , . , , . , . . . , . , .,.Street.Work completed .•..............19.. Remarks: