HomeMy WebLinkAboutFAIRBANKS RD 41Name ,Tames F.Kelly Service No.107
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Address 1-~S ~'-_
Location LOT'"333__1
HP-6411
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Date Material Amount Total Date Amount I
Q_l-f,l Labor 1I.ll..So(-\'')-t,I ~c "0:~/,,:,{/L"<
CL_'7__h 1 "1'0\.1/.')1.')A 11-1'\-&I Kr'<"A 19 '7 LJ.
2i10%O.H 2.1.'3 26 l71 ov
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80 26
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TOWN OF LEXINGTON-DEPT.OF'PUBLIC WORKS
SEWER DIVISION
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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
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I I I I I I I I I 1 I I I_II I I I_I I I 1--1 I I I I 1
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Connection made in Street.
Remarks:
Work completed '"19..