HomeMy WebLinkAboutFLINTLOCK RD 10Name
Address
Kind of Pipe
10 l:"llntlock Road
Size
Location
Service No.
Size of Main
R:e~~KX..New Service Location
Date J'vo1 a terial Amount.Total Date Amount
HP-7919
:>;,
Labor
IESTALLED IEL_DEVE
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .NO..~.~.. ..~. .-~.-
The undersigned applies for the construction of a particular sewer connecting No ,___i ••••••
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.
Remarks:
Work completed .•__19..