HomeMy WebLinkAboutBEDFORD ST 69 - 71Name
Address
Kind of Pipe
Repair-Renewal-New Service
Loeatioll
Size
Service No.b J
6J;>~7/&~r/J~ee/
Size of Main
Location
Date Material Amount
III
Total Date Amount
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Labor
TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO._
The undersigned applies for the construction of a particular sewer connecting No.h 9~V8e~/tIY
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 69.".77 -
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Connection made in Street.
Remarks:
Work completed _19