HomeMy WebLinkAboutEATON RD 31Name Te 1.1:E9r Const.Co.Service No.63
Address :">1 ]=i:~ton Rd.
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Kind of Pipe Size Size of Main
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Date ~aterial 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 $.
Sketch of Service Here
c=-....,.d use of Particular
_-"Owner
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Connection made in Street.
Remarks:
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Work completed •._-............19.•