HomeMy WebLinkAboutCLARKE ST 40I!~
Name
Address
Kind ofPive
Repair-Renewal-New Service
Service No.
Location #27 C~~~e e,Phee ~
Size Size of Main
Location
I?J
Date Material Amount Total Date Amount
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-..:l
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Labor II
TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
..SEWER DIVISION
DATE NO.__~__
The undersigned applies for the construction of a particular sewer connecting No.!/aC/12de d¥
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 4 0
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II '/:It;,.'{L l...v r'/l.-I..b.I 1.1 1-1
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Connection made in Street.
Remarks:
Work completed _19 •