HomeMy WebLinkAboutBEDFORD ST 435Name p"G 1wrd H.Sc'ule
Address 4--:.')~'edi'ord S crest
Kind of Pipe
J1W~K~oe~New Service com.8-15-55
Location
Service No.64
Sin of Main
Location
Date
Labor
Material Amount Total
61 31
Date Amount
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .................•.•.•.•NO .
fhe 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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I 1 I 1 I I I I I I I I I I 11 1·111 I t·+·l t+l(t LL
Connection made in ..............................Street.Work completed ................19..
Remarks:...l_..-~