HomeMy WebLinkAboutFARMCREST AVE 171 '7 Far'mr.T'p.~t ll.'TenlJA
Name R.B.Hackenberger Service No.179 ~
Address I
Location
Kind of Pipe Size Size of Main
Rjj(plilJ':x,:.:~l»Jax:.-......ew Service COllI.11-9-53 Location
Date 1\./1 a terial Amount.Total Date Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
-DA:Tr ...:..::...., . . . . . . ,....NQ,...~..•-•.~.-
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
Sewers,as now or at any future time established by the Board of Selectmen,
Arn't of estimate $ .
Am't Paid $..,.
Sketch of Service Here
.;and use of Particular
__Owner
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Connection made in ....,..,., ,..., ,......' . , ,...,Street.Work completed ••_•• • . . . . . . . ...19 •.
Remarks: