HomeMy WebLinkAboutFERN ST 29Name Albert E.JthltDomh_Service No.125
Address 29 Fern Street
Location
Kind of Pipe Size-------------'Sin of Main
~l:eto:wid~New Service COM.9-6-55 Location
Date Material Amount Total Date Amount
3'7 50
£6_lli_----------- - -
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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 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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Connection made in Street.
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Work completed ... . . . . . . . . . . ...19 ..
Remarks:I,