HomeMy WebLinkAboutDONALD ST 15Name Ell 10 t t J.Barre tt Service No.]]1
Address 1 c'D ].Sonado t.
Location
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Kind of Pipe
J(tIej{Mt€*-.~~New Service
Size
COM.7-13-53
Size of Main
Location
Date Material Amount Total Date Amount
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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
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
and use of Particular
......................•...........Owner
Sketch of Service Here
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1 I 11-II1--1I
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Connection made in Street.
Remarks:
Work completed 19..