HomeMy WebLinkAboutCUMMINGS AVE 9Name AlfredJ.ntonalli Service No.2R
Address 9 Cummings AVenJ1A
Kind of Pipe
Repair-Renewal-New Service
Location
Size of Main
Location
Date Material Amount Total Date Amount
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4
Labor
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gt,let
HP-6411
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
Sketc:h of Servic:e Here
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I-I-II-I I I I II I I I I -I1-1-'-1
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I I I I 11 I I I I I I I I I I I I I
I I 1 r li-r I I I I I I I I I I I I
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I I 1 I I I I I I 1 1 I 1"1 I I I,J_I 1
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Connection made in Street.Work completed 19.,
Remarks: