HomeMy WebLinkAboutLOCKE LN 8Service No.n.Vrot-A.Cr.nR 1:.~.__Tn"_
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location
Kind of PIpe Size Size of Main
LocationInstalledbvdevelonel'Repair-Ren_al--New Service
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE.........•..•.•.•.•..•..•blQ ......
The undersigned appl ies for the construction of a particular sewer conne<:ting No,.
Street and hereby agrees tc 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 Sele<:tmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of Senic:e Here
r-ITI-II-II
-11-1-1
I -I I 'Ir-I-n
-11-11
I I 1 1r-Il -IllI I , I I I 1 1 I I I I I I I I 1 I I I I I I I I
I I [ I "I I I !I , I I I I I I I " I 1 I I I I I I 1 I1 1 1 11 1 1 . , , . , , . , , . , , ,I ' , , I ' , , . , .
! -I1 -I 1 -II I I I I 1 I I I I I I I I 1 I I I , , , , I I I1 [ I 11 I I . , , , , , . "",.",.....,.
Connection made in ,Street.
Remarks:
Work completed.. . . . . . . . . . ......19..