HomeMy WebLinkAboutBLOOMFIELD ST 55Kind of Pipe
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Size
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Size·of Main
·t_=--M1!eNm Service Location
.'Date Material Amount Total Date AmoUnt \..
.~H 7,,;an.M V -.1/
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1/.-1<$"'3 J.+1 •r-,..r-j/A..
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~TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
,SEWER DIYI8tON
DATE dtJ NO.'
,,'I Th dersi d applies for the construction of a partieularsewer connecting No./7 ~flr-7 .Street.and hereby agrees to comply lVilli the Rules and Reguhltions governing the CC>IlSI<nctUm~-
:,Sewers,as now or at any future time established by the Board of Selectmen.
Am't.of Estimate $,_
Arn't.Paid $_f,2~/'h,.~Owner
Sketch of Service Here
Connection made in Street.
Remarks:
Workcompleted _19