HomeMy WebLinkAboutBEDFORD ST 451f Name Richerd H.Soule Service No.16
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Kind of Pipe Size Size of Main
Amount
Location
DateTotalMaterial
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hrs.town si10ve
6"elbow
I _6"se"ver
Labor
'oint Call ound
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Fetching 10 x 3
I I&P~New Service COM.5-9-55t--------------------"'--"'-'-'-'--"'--"'----J----L..L--------------------------
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.Work completed.................19..
Remarks: