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HomeMy WebLinkAboutBOW ST 91Amount Size of Main Service No. Location 91 Bow Street Date Loeation Total hrs @7. Amount, Size Com.10-10-49 Mass.on Material Le S.Se.ntosussoName Kind of Pipe Address Date Labor .--,-,TbLnile 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 a t"any future time established by the Board of Selectmen.-------- Am't of estimate $...'". Am't Paid $ _ . -TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE .......•.••_•...........NO . .,"Owner Sketch of Service Here!" I I I I I I !!I I I I 1\1 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 III I I II I I I I I I I I !I I I IIII 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:IIIII I I I I I I I I I I I !!IIII I I ,,I I I ,I I I I I I I I III!I I I I I I I I I I I I I I I I I I ,I I I I II 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 III I ~I I I I I I I I ,I !I I I I II I I I , I , , , I ,-I r=r=!I I I I I I I Connection made in ..............................Street.Work completed •••...••.......•19.•. Remarks: