HomeMy WebLinkAboutBERTWELL RD 51Name Roland Christenson Service No.17
Address 51 Blilrtwell Rd.
Location
Lextngton
Kind of Pipe Size Size of Main
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Date
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I !I I....HP-9694 I
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: