HomeMy WebLinkAboutEWELL AVE 8Name
Address
Kind of Pipe
a Ewell~.
Size
Location
Service No.
Size of Main
~J9'-......._New Service Location
Date Material Amount.Total Date Amount
j I I r II,
I I I I II I II I I I
Labor
-7919
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 a~d use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $.
Am't Paid $.
.......................- • ..........Owner
-
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed .•-...19..