HomeMy WebLinkAboutBRANDON ST 40Name
Address 40 Brandon St.
Lexin oCton
Kind of Pipe
~New Service
Size
co:~.11--23-53
Location
Servic:e No.
Size of ~ain
Location
Date Material Amount Total Date Amount
HP-7919
Pi
Compound
Littlefield
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
Sevvers.as now or a"t a ny future time established by the Board of Selectmen.
Am't of estimate $._.
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE __.
Am't Paid $.
NO .
."Owner
Sketch of Service Here
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Connection made in..............................Street.
Remarks:
Work completed . . . . . . . . . . . . . ...19..