HomeMy WebLinkAboutBLUEBERRY LN 9S~r\Ttce lns~~llaa by developer
Name Service No.
Address 119 Blueberry Lane
Location
~._.-,';,.
Kind of Pipe Size Siseof Main
~...-.lr-New Service Location
Date Material Amount Total Date Amount
.
..
Labor
HP-6411 "
r 1111_,1"
------------------------.............'
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 $.
•-"".. ....O\Arner
Sketch of Service Here
I I I I j I I LUJ I I I
I \[I I I I I I I I I I I
I I 1 [I I I I I I I I I I
I 1 I \1 I I I I I I I I I I I
I I I I I I I I I I I I 1 I I !I
I \I I I I I I I I I I I I 1 I I I
I I I I I I I I I \I I I I \I 1 I
I I I I I I I I I I I I I 1 1 I I I I I
I I I I I I I I I I I I I I I I \I 1 1
I I I I I I I I I I I I I I I I I 1 I I
I I I I I I I I I I I I I I I I I HII I I I I I I I I I I I I I I I I I
Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.Work completed .......•.....~..19..
Remarks: