HomeMy WebLinkAboutFLINTLOCK RD 3Name Service No.
Address :3 ::::E<'lintlock Road
Location
Kind of Pipe Size Size of Main
RePltli"'(~New Service Location
Dale ......."..laterial Amount.Total Date Amount
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IP·7919 -'---------------"-
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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 a ~C=I 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 of1 Service He
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Connection made in ...~91~flt....1'!\1!J:d.t.........Street.
Remarks:6tJ fteOf....,e.-lr
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Work completed .•.... .19..