HomeMy WebLinkAboutBERWICK RD 8Name Mil Service No.1
Address
Location
Kind of Pipe COM.8-31-53 Size Size of Main
~lI-New~rvice Location
Date
7
HP-7919
Material
Labor
Amount
@!7.50
Total
71 04
31 90
1 881
52 50!
1 50 i
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
Sevvers.as now or at-any future time established by the Board of Selectmen.
An"l't of estimate $ _ .
Arn't Paid $ _ .
....................,..........., "Owner
Sketch of Service Here
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ConnectiGn made in . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street.Work completed • . . . . . . . . . . . . ...19..
Remarks: