HomeMy WebLinkAboutFERN ST 3Name B in S.stone
,
Service No.1 t:;
Address n Street
Kind of Pipe
1k1t~~.~NewService Com.8-6-S1
Size
Loc:ation j Fern Street
Size of Main
Location
Date Material Amount.Total Date Amount
I I.LV t<J ~...uLUO=e<I 'II '+I P'II ?;/>I I /I ~
Labor
[P-7919
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .
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
Sewers,as now or at any future time established by the Board of Selectmen.
NO .
use of Particular
Connection made in . . . . . . . . . . . . . . . .Street.
Remarks:
Work completed . • • • _ . . • . . . . . ...19..