HomeMy WebLinkAboutBERTWELL RD 65Name
Address
Service No.
Laxin;,ton lvLi..3 3 •
Kind of Pipe
~i(X.~New Service
Size Size of Main
Location
Date Material Alliount Total Date Amount
2 hra.@ 2.c:
Hou h Loader
Littlerield Shov
Labor
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
Se'Ners,as now or at any future time established by the Board of Selectmen.
Am't of estimate $.
Am't Paid $.
.Owner
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Connection made in . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street.Work completed '"..., • . . . . . ...19..
Remarks: