HomeMy WebLinkAboutLOWELL ST 167. .,
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Date.Material AmoLlnt Total Date Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE..•...•.••..•.•••••••••••NO...•.....••
The undersignedappl ies for the 'COnstruction of a particular sewer connecting No .
Street and hereby agrees to compl y with the RuIes and Regula tions .governing the consIruct;on a nd use of Particular
Sewer:;,as now or at any future time established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of SlBl'Vice Here
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Connection made in.. . ....•..................•...,Sfreef.
Remarks:
Work completed 19..
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