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HomeMy WebLinkAboutFOLLEN RD 218Name Nathaniel Colbert ~!----lj Service No.50 Address 218 Eoll en Road Location Lexiruzton.Masso Kind of Pipe Size Size of Main ~'liJXlbcDl1l!at-New Service {~_.H7 2-...J~-..!)-j Location Amount ? DateTotalAmountMaterial I I I I -H---I II I "I I \ I I I I II I II I I I I l I I ~--........"'.......-•.LtJ"f "'0,,),+2 I II Ilil q.\1 Il-------llf------f-I------ Date Labor TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION DATE .--N(};-,-.-.-.-.-.--.-,-.--- 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 and use of Particular Sewers.as now or at any future time established by the Board of Selectmen. Am'tof estimate $ . Am't Paid $ ,.., . •"Owner Sketch of Service Here 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 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 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 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 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 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 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 I II I I I I I I I I I I I I I I I I I I I I I +11'1 I I I I I I I I I I I 11 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 II I I I I !I I I I I I I I I I I I I Connection made in . . . . . . . . . . . . . . . . . . . . . . . .Street. Remarks: Work completed .•• • . . . . . . . . . ...19..