HomeMy WebLinkAboutFLETCHER AVE 8•Name Service No.-2J'(
Address
Loeation 8r~/cje,./?v~.
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Kind of Pipe Size Size of Main
Repair-Renewal-New Service Location .-
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE Ne;_··~~~-=~
The undersigned applies for the construction of a particular sewer connecting No.t3/k£he ,-,qv<:!"
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.
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Am't.of Estimate $
Am't.Paid $
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19Workcompleted_
__________________Owner
Sketch of Service Here~.~..
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Connection made in Street.
Remarks: