HomeMy WebLinkAboutDEXTER RD 63Name
Address
Donal Cl I,...wln
63 Dexter Road
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Service No.21 t;'
Location
Size of MainKindofPipeSize
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Date Material Amount Total Date Amount
12/2/c;'c Leho""1 <I<()/J -.;-7-c~-0 j!)e ?CS//~-d /--::>cT j ./
12/1/c;'c 11 ;:l()ko i <.::lO /1--:"""31_l5-s---f..£V l7/e /"/)-(,-.3I,_____
~:0 overhead i.,n 137 il _
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HP-9694 I ,i 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:
I
Work completed 19..