HomeMy WebLinkAboutBURLINGTON ST 50,
f Date Material Amount Total Date ,-''~mount
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f Kind of Pi~:_X_i_n_g_t_o_n S_i_:ze S_ize of Main _
l(epaJt~~New Service COM.4-6-53 location
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 Service Here
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Connection made in ...............................Street.Work completed.................19..
Remarks: