HomeMy WebLinkAboutBEDFORD ST 290Name
Address
Date
r;.'IV.Johnson
Lexington
Material Amount Total
Location
Date
Service No.
Sin of Main
Location
Amount
10%overhead
HP-6411 '-"--------~
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:
Work completed . . . . . . . . . . . . . ...19..