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HomeMy WebLinkAboutCLARKE ST 34e Name Address Service No. Location ~¥Ckr,l'e cl'h~6'1 /?'/ e\ [ "o~I .~ "f-H 0;-"H -·i"It..":;;-'"tIl Kind of Pipe Repair-Renewal-New Service Date I Material "'"/ Amount \ i I I I II ! 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.31/ade ,J'~ 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 -f- I --1/ /.I /~'".~.~.... v z,~...,..,...) I .-',"I,+*t +---1----- Connection made in Street. Remarks: Work completed _19 •