HomeMy WebLinkAboutLOCKE LN 9~_._~-
Name n.v...,...r.nn..t.roo ••InD.Service No.
AcId.....Q '[.......1."'-T..n A
Location
Kind of Pipe S&e Sise of Main
LocationInatalledbvd8v..1Dn..~Repair-Renewal---New Service .-
Date Material Amaunt ,Total Date .1 Amount
2 /2.0:;15",
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HP-9694 L 1 __L_I .J I ...l _-.--•---
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ......................•..NG ,.
The undersigned applies fo r the construction of aparticul ar 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 Se...ice Here
fl-I-11-1
1 1-i
rTTl-1-11-1
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1-11-1-1-1
11111-1
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Connection made in Street.
Remarks:
Work completed.. . . . . . . . . . . . ,...19..