HomeMy WebLinkAboutFOLLEN RD 195Name
Address
Service No.142
Lexi rlgton.liiass.Location ~
Kind of Pipe /,,--,\Size Size of Main
~Wl••,XXNew Service
//.~./,.;2.-(3 -S/Location I
Date ""'-'1 aterial Amount.Total Date Amount
1=4
.p 0
T'nin~M~.3.42
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no +-",\-.11 ~.,.':'lln "V 7..,(\lnf\
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Labor
ij .4 -04--
..I 79 154
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loR.-k&she.d ~YfL·IH
HP·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..,d 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
-I
Connection made in Street.
Remarks:
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Work completed .•_ _19..