HomeMy WebLinkAboutBEDFORD ST 395I Name Frederj ok E.Tucker Service No.44J.------.C-L:..-QC~~I..:.t..&.--J.~~-----------------=c=----
Address 305 Bedford Streett L_o~ca_t_io__n _
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Kind of Pipe CO].'?-1~:,-53 Size Size of Main
Amount
Location
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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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11 T 1 t i t!+,I ~.-1-11 _LI
Connection made in ...............................Street.Work completed .................19..
Remarks: