HomeMy WebLinkAboutBLAKE RD 85Name
Address
Service No.48
Lexln ton
Kind of Pipe
X~New Service COM.4-27-53
Sixe
Location
Size of Main
Location
Date Material Amount Total 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
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: