HomeMy WebLinkAboutBRANDON ST 36LocationCOM.7-28-52IIePl~NewService_____-----"<..>o<..oU!Io..L.--L..=:~~_
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I Name Eenjamin Gott Service No.63If---A-d-dr-e-ss-~~~~~.w=~-------------------------------->.L.LL.-_
36 Brandon Street
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\IIDateIMaterialAmount Total Date Amount
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I'F./2 /52 I t.AM",I :.l2 AD .&,(';:~~/'/r::?(5.1~65 42 '.1-/--~-:l
i 1o'?t u:ad 6\54 II 71 96 I 7-J.-tf-,;;-2-~A.ht/....c/(/'0 !tt ;/'vI521 .34k I ,?/-t ---
i -6"sewer oif:e @ I 17 78 //;/t l'~
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i r ,I ~\20 1 00 II4h'rs.town shove]5.00
i I I 50 ;!!+-2 bra.truckiD2 1 I
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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 Sel'Yice Here
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Connection made in ..............'..:..............Street.Work completed.................19...
Remarks: