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HomeMy WebLinkAboutBOW ST 77Amount Service No.166 Location Sise of Main Date Location :3 24 38 46 56 00 18 47 22 00 139 67 Total 3 50 34 96 Amount e@..342 Overhead bor Material .Toint 54 1 -6·sewer Name .tntheDY Moretti Address 77 ]jowS'treet Kind of Pipe AlaiOt:!XbuDr:alle::::zNew Service Date Labor . 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. ..,.."'"""':..•-'-......'"'~"'f;>TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE ............•....•....•. Arn't of estimate $. Arn't Paid $. NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Owner Sketch of Service Here \I I I I !I I I I I I I J I I I I I I-I-!-I-I-I I I I I I I I I I I I I I I I I I I I-I-I- I !I I I I I I I I I I I I I I I I I I I ! I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I !I I I I -I I I I I I I I I I I I I ,I I I I I I I I 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 LL..l I I I I I I I I I ! I 1 I I I I -I I I I I I , 1 I I i I I I I I Connection made in ............; . . . . . . . . . . . . . . . . .Street.Work completed . . . . . . . . . . . . . ...19 .. Remarks: