HomeMy WebLinkAboutLINMOOR TER 7-'fiNO.)_''.
N....~_1la1"k Moore
~7 I.1 amoor Terrace
Kiad of Pipe
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Date Material Amount Total Date Amount I
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Jt ,B.;II.16501 _____-1~--~---- -.-
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 ag rees to comply with the Rul es and Regulations gaveming the construction and use of Partleular
Sewers,as now or at any fu ture ti me estabIished by the Board of Selectmen.
Arn't of estimate $.,•..•....
Arn't Paid $..,.
.Owner
Sketch of $en<ice He,..7
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"'-'1101~~--,'Connection made in , . , • , • ,, • ,Street.Work completed.. . . . . ,'9..
RemIIrkI:$..-I.U <"r P..p~r)5 t.+~r G-_..$tna.·,'"
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