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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 -Ii l':I0...!bIl II l':~'".~ cl Ii=: 11 .... ~---I I'"'"Po<I l» I,'":a-,'Ol tIt ,!If Labor III! ---_II ! 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 I i I 'r 1:-"( =1 1\<, \'__\__f[1 .''., ~ I L \',"/j .,"- \11 ;,1'1''.--,.' 1 1\J/t ".b •.;'If.I l- I -~b Ir----,~I I I ~.......I ~..;;...-..'--'-'7 ...., Connection made in Street. Remarks: Work completed _19