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HomeMy WebLinkAboutBEDFORD ST 433Name Address arroll 'Nhi te location Service No.151 Kind of Pipe COM.IO-5-53 Size Size of Main Location 9 Date Material 'oint CO'1l'Jound 4 n...I's. 2 hrs.truckin" Labor Amount Total III 23 Date Amount HP-7919 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 Se\IVers,as no\iV or a t any future time established by the Board of Selectmen. Arn't of estimate $. Am't Paid $. .Owner Sketch of Service Here I !I I I ,!I I !I I I I I II I !,I I I ,), I I I !I I 1 I I I I I I I I I !I , I I !I ;I IrI1t,1 ~.I i Work completed • . . . . . . . . . . . . ...19.. 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 Tl I I I I I I I I I I I !,I I ,l:~-+--!--+-!-+-I-,-'-.l.-+-+-I-+--:'-+--:I-+-;--.l.-i--+--i-+I-+---!--+--7-+-+--.l.-~-+--+-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 I I !I I I I Connection made in Street. Remarks: