HomeMy WebLinkAboutBLUEBERRY LN 14Name
Adclress #14 Blueberry Lane
·)Se~~tce lnstlll1ed by develope~
Service No.
Location
Kind of Pipe Size Size of Main .
Location
Date
Labor
Material Amount Total Date Amount
HP·6411
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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 .$.•••••••••
Am't Paid $.
.""Ow'ner
Sketch of Service Here
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I I I I I I I I I 1 J I I I [LI
1 1 I I 1 I I I 1 I I I I I I I I I
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I I I I I I I I I I I I I I I I I I 1 1 1
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Connection made in .......................•.....~Street.
Remarks:
Work completed . . . . . . . . . . . . . ...19..