HomeMy WebLinkAboutFOREST ST 14 - 16Name Curisti8n S...ience "G...urch Service No.-B /OJn?
Address Fore s t Street 14-16
Lexington,ILss.Location Forest st.
Kind of Pipe--'-----
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Size of Main
Location
Date Material Amount Total Date Amount
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HP·6411
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .............•.•.•••••••MO••~~_._L~,__,_
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't of estimate $....,.....
Am't Paid $.
. . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . .Owner
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Connection made in Street.
Remarks:
Work completed .,. .............19..