HomeMy WebLinkAboutFRANCIS RD 13Name
Address
KiDd of Pipe
13 Francts/Road
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Sin
Location
Service He.
Sise of Main
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Date Material Amount Total Date Amount
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Labor
H.B.II.1850l
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 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
Sketch of Service Here
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Connection made in.. . . . . .•. . . . . . . . . . . . . . . • .... . . .Street.
Remarks:
Work completed 19..