HomeMy WebLinkAboutBLUEBERRY LN 28Name
Address #28 Blueberry Lane
Location
a~~viee lhstal1ed by de.alope~
Service No.
Kind of Pipe
~jlLNew Service
Size Size of Main
Location
Date Material Amount Total Date Amount
,
Labor
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 $.
Am't Paid $.
.Owner
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed ..: . . . . . . . . . . ...19..