HomeMy WebLinkAboutBEDFORD ST 8Name
Address Z &.drd <Sf
Service No.J 'I
Date
Kind of Pipe
Repair-Renewal-New Service
Ma'terial Amount
Size
Total Date
Size of Main
Location
Amount
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II
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11
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Labor III!
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO._
The undersigned applies for the construction of a particular sewer connecting No.£/.:le~"/d
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 Suvice Here g -I
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Connection made in Street.
Remarks:
Work completed _19