HomeMy WebLinkAboutCALVIN ST 30Name RO:',8 Di1 'l<:n0,O Service No.215 (1~5Z)
Address 30 Gelvin street
Location
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Labor
---"J_791q
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
Se\Ners.as now or at any future time established by the Board of Selectmen.
Arn't of estimate $.
Am't Paid $.
. ,Owner........................
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed ,19 ..