HomeMy WebLinkAboutCEDAR ST 173,
Name
Address -'73 C.edar Sf
Kind of Pipe
Repair-Renewal-New Service
Location
Service No.
Size of Main
Location
Date
4-30-16'1
Material Amount Total Date Amount
HP-6411r
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Labor
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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
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Sketch of Service Here J 7 3
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Connection made in Street.
Remarks:
Work completed ...19..