HomeMy WebLinkAboutBLAKE RD 76Name John Harris Service No.28
I Address 76 Blake Rd.
l Lexington Location
i Kind of Pipe Size Size of Main
U l~m-New Service COM.4-6-53 Location
Date Material Amount Total Date Amount
Labor
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?1.88 ~
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 $..........
Arn't Paid $.........,......
..................................Owner
Sketch of Service Here
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Connection made in ...............................Street.Work completed .................19 ..
Remarks: