HomeMy WebLinkAboutEWELL AVE 4Name
Address
Service No.
4 ~~:Ll Ave.
Location
Kind of Pipe
~.x..~~~.ift New Service
Size Size of Main
Location
Date ...............aterial Amount.Total Date Amount
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195'r;-lnst~1 ::Led 52'---I--
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P-7919
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
BA1"E ~...•~.~..•....."',..•..~.....
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 c..,<:1
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
---•........Ovvner
Sketch of Service Here
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11111/11/1111/11/1/111/11/111 I I
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/I /I I I I I I I !I I !I I I I I I I I I I I I I I I I ,
1 I I I 1 I 1 I I I 1 I]I I I 1 I~I I I I I D I 1 I I I FI 1 I I I I 1 1 I I I I I I I I I I 1 I I I II I I I I I I/11111/111111111/111111111111 I II I 1 1 I 1 I I I 1 1 I I I I I I I I I 1 I I I 1 I I I 1 I II I I I I 1 I I I 1 1 I I I I I I I I I I 1 I 1 1 I I I I I I11111111111111111111111111111II
Connection made in ..............................Street.Work completed .•_ ___••...•.•"19..
Remarks: