HomeMy WebLinkAboutBLUEBERRY LN 15ServIcE'l.nst~lled by developer
Name -Service No.
Address 1115 Bluebert>y Lane
Location
Kind of Pipe Size Size of Main
~NewService Location
Date Material Amount Total Date Amount-
r
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Labor
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HP-6411
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
$ewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $'.
Am't Paid $.
.~er
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed 19•.