HomeMy WebLinkAboutBERTWELL RD 44Address
Gilman Haven
Location
Service No.32
Kind of Pipe
~-New Service
COM.6-16-52 Size Size of Main
Location
Date
HP-7919
nat
Material
overhead
Labor
Amount.Total Date Amount
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: