HomeMy WebLinkAboutBLUEBERRY LN 23Name
Sa~vlee l~st~lled by developer
Service No.
Address #23 Blueberry Lane
Location"
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Kind of Pipe Size Size of Main
.ibI~NewService Location
Date Material Amount Total Date Amount
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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
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.
Remarks:
Work completed '"19.•