HomeMy WebLinkAboutDIEHL RD 5Name A.J Corri~8n Service No.Q7
Location
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Kind of Pipe
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Size Size of Main
Location
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Date I Material Amount Total Date Amount
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TOWN OF LEXI NGTON-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
Connection made in Street.
Remarks:
Work completed .., . .19..