HomeMy WebLinkAboutCRAWFORD RD 4Name Mark Moore Service No.213
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Address 4 Crawford Rd ••L~xington.Mass.
Location Co frJ m,/'~3/~-7
Kind of Pipe
~New Service
Size Size of Main
Location
Date Material Amount Total Date ~Amount
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10%Overhead
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I 2 hrs.Trucking @.75 1 50I
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HP-9694 II I
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
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed 19..