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HomeMy WebLinkAboutCLARKE ST 31Service No. Location t.!J/C~r./e if/ree/ (. Date !"" Name Address Kind of Pipe Repair-Renewal-New Service Material Amouut Size Total Date Size of Main Location /?3 Amount •Name Address Service No•/1)3 r[ t- L Kind of Pipe Repair-Renewal-New Service Date ~aterial / • Amount Size Total Date Size of Main Location Amount ".-"~ Labor -. TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS SEWER DIVISION DATE NO._ The undersigned applies for the construction of a particular sewer connecting No.,9/C;t,r.le ,PI. 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 Heref"3 ~'• -~. I ....I-"il r , ""~'7I.o.-l..~+II -~r:/-'.r~....V"__ Connection made in Street. Remarks: Work completed 19 • TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS 'SEWER DIVISION DATE -NO.,_ The undersigned applies for the construction of a particular sewer connecting No.3!/ante 6th 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 ;:3 4 -- 1/ -t--1/ -,/. /~IC'~.I,t - ---'/1 ...i,.,"~,.~.i I I ","''"tt '" C' Connection made in Street. Remarks: Work completed 19 (.