HomeMy WebLinkAboutFLINTLOCK RD 4Name Service No.
Address 4 F':L intlock Road
Location
Location :
Size Size of Main IKindofPipe
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Date 1'.,../1 aterial Amount.Total Date Amount
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Labe»r
P-7019 ,,,------------ - -
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .NO....:..-~-=-.-
The undersigned appl ies for the construction of a particular sewer connecting No._ _ _ _...........•.•
Street and hereby agrees to comply with the Rules and Regulations governing the construction oat r"d use of Particular
Sewers.as now or at any future time established by the Board of Selectmen.
Arn't of estimate $.
Am't Paid $.
- - -Ovvner
Sketch of Service Here
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Connection made in ....... . . . . . . . . . . . . . . . . . . . . ...Street.Work completed ••_ _ _ • • • . . . • . ...19 ••
Remarks:
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