HomeMy WebLinkAboutBLUEBERRY LN 20....r S$l'vlee lnstQ.l1ed by developer
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Address 1}20 Blueberry Lane
Location
Kind of Pipe Size Size of Main
~.al-NewService Location
Date Material Amount Total Date Amount
Labor
HP-6411r -
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWE'R DIVISION
DATE ...........•••.....•••••NO...••..•..
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The undersigned applies for the construction of a particular sewer connecting No..................••....••
Street and hereby agrees to comply with the Rules and Regulations goveming 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: