HomeMy WebLinkAboutCEDAR ST 202Name Service No...Address 202 Cedar 51:
Location
Kind of Pipe Size of Main
Repair-Renewal-New Sel'!i_~Location
Date Material Amount Total Date Amount
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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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Connection made in Street.
Remarks:
Work completed 19..