HomeMy WebLinkAboutBERTWELL RD 64Size of MainSize
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Date Material Amount Total Date Amount
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20 72
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HP-7919
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 a t any future time established by the Board of Selectmen.
Am't of estimate $.. . . .
Am't Paid $.
.OINner
Sketch of Service Here
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Connection made in . . . . . . . . . . . . . . . . . . . . . . . . . . . . "Street.Work completed ................19..
Remarks: