HomeMy WebLinkAboutLOWELL ST 162.._-._._._.~-~_..-.---_.--,----.-...........-~'~
......etLarles 110 Alger SertiCil No.30 .,
iAdcI_162 Lowell Street I
Loca~~
Kind of Pipe COM .10-31-.55 Size Size of Main
,.L~New Service Locati'I,"
Date Material Amount Total Date.--..Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ••.........•".••.•••••••NO........•.
The undersi gned applies for the construelion of a pariicu la r sewer connecting No......•...•......••••••••.
Streel 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 $.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...Oovner
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street.Work oompleted .•.....•••......19..
Remarks:
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