HomeMy WebLinkAboutFLINTLOCK RD 6Name Service No.
Address 6 Pl::I.....ntloclr Road
Location
Kind of Pipe Si.ze Si.ze of Main I
Location~.....ew Service
I
Date 1'./"1 C3teriaI Amount.Total Date Amount
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I)",ro 1~9 63 66 •-INSTIL LR P BY DE'rcI,O ER
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Labe>r
,[P~7919
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORIe ~
SEWER DIVISION
------~flA-TE-000.-.-'-0 -••••••••"•••••••NQ.__..~._,_._,_,--_._
The undersigned applies for the construction of a particular sewer connecting No..0 •••0 • _
Street and hereby agrees to comply with the Rules and Regulations governing the construction
Sewers.as now or at any future time established by the Board of Selectmen.
AmOt of estimate $0 • 0 0 • 0 ••••
Am't Paid $.0 •••0 ••••0 • 0 0 0
Sketch of Service Here
c=-r"d use of Particular
__•.........Owner
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I I I I I I I I 1-1-1-1 I I I I I I I I I I I I I I I I I
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I I I I I I-I I I I I 1-I I I 1 I I I I I I I 1_-1-1-I-I I I I 1 I
I I I I I~I_I I I I 1 11_1 I I I I I I I I I II I I I I I I I I
Connection made in .0 • 0 ••••••••••0 0 ••0 ••0 0 0 0 0 0 ••0 Street.
Remarks:
Work completed .•19..