HomeMy WebLinkAboutCALVIN ST 15Name George Cunningham Service No.__(34
Address
Location
Kind of Pipe
~XiX-*Dj{~*-New Service COL 7-13-53
Size Size of'Main
Location
Date Material Amount Total Date
"'
Amount
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HP-9694
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 a ny future time established by the Board of Selectmen.
Arn't of estimate $.
Arn't Paid $........•.......
.Owner
Sketch of Service Here
1-I I I I I I I I I I I I I I I I I I I 1 I 1 I I I I -I-1-1-1 I I I
I I I I I I I II I I I I I I I II I I I I I I I 1 I I I I I I I I
IT 1 r 1'11111 r'11 l'T 1T'1 1 r l"1T1 1 11 r "IT IT')
Connection made in.. .•...........................Street.
Remarks:
Work completed 19..