HomeMy WebLinkAboutGRAPEVINE AVE 40~e Donald L.Cruwys Service No.233~~---~~=.-Addres·1i;ara,i.iyCU .tri;Locarion:>;3
Kind of Pipe Size Size of Main
:ll»J:lrH'bllul:-New Service Russell Sibley Permit IIA 94 Location MAR 1 4 196&
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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 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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Sketch of Service Here 4 0
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. . ..wall~:%Work completed.................19..Connection made In ....•.•..•••.••.•..•..••..••••~treet.
Remarks:~