HomeMy WebLinkAboutBOWKER ST 35Name >~,
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Location
Kind of Pipe
Repair-~
Size Size of ~-=-i ...
Locatio...
Date Material Amount Total Date Arnoun
1/-4-3~
2.i'~#'S p~hie....,.-Pl'0 e-o
HnN f'!'H6"J:?r--
?/4 /R4 T.lI:h,.,,,.??I,•
20 1 -16"~ewer ni nA ll!D _.==z;~R?6 l:l I
,ini nt:-",!~C-,4 ?,/';%,h""a IT,"'+-.+-1 ...-1'..",,1 ~~~_....:r_'"
i ~7.~t>Q 35 O(
2 hro~&.••nO'a _'7fi ,F;..
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'7'9 (')."j
-
-Labor
,HP~7919 ,
DATE.___
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
NO .
..'
The undersigr1l~c::I applies for the construction of a particular sewer connecting No .
Street and hereby C3I g .-~es to comply with the Rules and Regulations governing the construction and use of Particular
Se\Ners,as no\N or C31"t-C3 ny future time established by the Board of Selectmen.
Am't of estimate $._ _ _ .
Arn't Paid $.. . . • _ _
................, ,"Owner
Sketch of Service Here a \...~
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Connection made i r-a
Remarks:
_•.Street.Work completed "19..