HomeMy WebLinkAboutCEDAR ST 153Name Service No.
'Ad'dresk ~/5"3 Cedar 51.
Location
Kind of Pipe Sise Sise of Main
Repair-Renewal-New Service Location
Date Material Amount Total Date Amount
6-)$-$~
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Labor I
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HP.6411 ;
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TOWN'OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
r
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 JS ~
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/1111 111/1111 I I I I II I II I I I I I I I I
11111111111111 1\I I I 11111/1111111
1/1111111/1 1111 I I I In I I I I I I I I I I I 1 I
1111111111111/1 ~I I t.I I I I I I I I 1 I I I I
I / I 1 I I I I I I I I I I I I";,.1 I ,.I I I I I I ,1 I I /I I
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11111"'"11111111111111111111111
Connection made in Street.
Remarks:
Work completed 19 ..