HomeMy WebLinkAboutFAIRBANKS RD 16Name $erYice Me.
Address 16 Fairban ks Road
Location i
Kind of Pipe Size Size of Main ~
Repair-Renewal-New SerYice installed by contractor 1956 Location
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Date Material Amount Total Date Amount {,
An<lust 20 19bL.MEHORANDID.r NO ~:2R 1
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H.B.M.l8S0l
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ,...........••.NO-..-.....••--.--;--
1
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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 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
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Conn.ctlon made In., ,, , , , , , , . ,Street.
Remarka:
Work completed,. , , ,19..