HomeMy WebLinkAboutDONALD ST 4Name Eric S a.:r-::::........lberg Service No.198
Address Ll DOrla.=:I..-d St.
Lexing ~<:m Location
Kind of Pipe Size Size of Main
Location12-21-.5:';G<Y~~~~~......ew Service ---..--.v
Dat"e f'.....-"'I C3I teria I Amount.Total Date Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORI<-~
SEWER DIVISION
~-DATE .Ne..;.
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 $.
C3..,d use of Particular
Am't Paid $.
_Ovvner
Sketch of Service Here
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Connection made in .Street.
Remarks:
Work completed ••-1'9 .•