HomeMy WebLinkAboutDIEHL RD 4Name E.;r._CQrrlg~a"-,,n,,--_Address ----------Service No.2
1-____4 D1 ebl Road ----"9'------
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location
Amount
Size of Main
DateTotal
Size
Material
Kind of Pipe
RilP~~--NewService C0],1.~7 -19-54 location
Amount II II ~t-Date
HP-9694
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ......................•••NO.....'"..•
The undersigned appl ies 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
I II-,
I I
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1-\
I I I ,,I I I J I I I I I I I'I I I 1 I I'"
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Connection made in Street.
Remarks:
Work completed.... . ••.........•19 ..