HomeMy WebLinkAboutFOREST ST 38 - 42Location t3e?-#-.¢.2 r;;~s/c/'/re~/
Date
Kind of Pipe
Repair-Renewal-New Service
Material Amount
Size
Total Date
Service No.
Size of Main
Location
Amount
..5-3-121
27'rL>"Sew(it 'r 'P,f e
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TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE ----__NO._
The undersigned applies for the construction of a particular sewer connecting No..ii~i4t~jI.;?~si!-i#.
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
I
Sketch of Service Here ~1-4-0-42-,.""'.
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de in /tireS/"VdYStreet...Work completed
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