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HomeMy WebLinkAboutFLINTLOCK RD 9Name Address 9 F'lintlock Road Location Service No. Kind of Pipe ~~--NewService Size Size of Main Location Date I'v1 aterial Amount.Total Date Amount -, Dec.l(r::~56 '-rnSTAIcL":D BY DI~~lF ,:,OPI R'~V ,--'--'--_.._----_._- , Labe>r lP-7919 TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION -1)1\TE .-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 Sewers,as now or at any future time established by the Board of Selectmen, Am't of estimate $ . Am't Paid $" . Sketch of Service Here -=-.,d use of Particular _ -Owner I-I I -II I I I I I I I I I 1-I-Ir--I I -11-11111111 IIII I I I I I I I I I I I I I I I I I I I I I I I ,I I I 1 I I I 1-1-1 -I I "I II III1II1 1'--I1--1-I I I I 1 I I I I 1 I I I I I I I I 1 I 1 I I 1 I I I I 1 I I I I I I 1 I1I 1 I I I I 1 I 1-'-I-I I I 1-1-1-1---( "",I II III 1111111 i-' ", I 1 I I I I 1 1 I I 1 I 1 Connection made in ,Street_ Remarks: Work completed ••19..