HomeMy WebLinkAboutEWELL AVE 15Name
Address
Kind of Pipe
1..:3 Ewell Avenue
Size
Location
Service No.
Size of Main
8E:pilbed-•New Service Location
Date Material Amount Total Date Amount
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Labor
P-7919
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...,....,....,....,.,...
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 a.,d
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $..., . ,....
Am't Paid $....., . ,..'"..
NO....,.....
use of Particular
••......."Owner
Sketch of Service Here
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Connection made in ,,.,'.', , . ,.., ,Street.
Remarks:
Work completed ••_ • • • • • . . . . . ...19 ••