HomeMy WebLinkAboutFAIR OAKS DR 12Name Car1 E.Bryant
Address , 2 Fsi r OAks Dt>1 ye
L~x1.nJ2:ton Location
Service No.57
SizeKindofPipe
_XiJ89lttK~-NewService
COM.6-30-52 --------Size of Main
Location
Amount Total Date Amount
-l l-~~FE~l
--j t=-i Ht=I _
!
j
-I~=-~----+----
TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .......................•.~NO :.~~---~--~-
The undersigned appl ies for the construction of a particular sewer connecting No.........................•..
Street and hereby agrees to comply with the Rules and Regulations governing the construction and 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
I I
I r I I , I , I I I I I I I I I I 1 I I -1-1 'I I I
I I I I I I I I I I I I I I I I I I I 111
I I
I I
Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed 19..