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HomeMy WebLinkAboutMAPLE ST 131_.__~,=.._~__~~~.~_-.~__---~"_.."-,;,.--.-~~..-_--..-_....~~~~r,__~-__"'-~.'''---T--~~~-----_- --.----~-------------·--~---t,,;·--..;.'<._"!...-.~~~c~',..'~;l --~I•Add....13 1·-';'fA~-ST:. Location L_tion Size of Main"'ind of Pipe Repai"":-Renewal-New Servic-e- Date Material Amount Total Date Amount I·}0-'1-l!"6 40 6"S e..we.r ?;pe I 10'//,1?f>.nI "- .)16 "E Ik..w )(,")(W"O T . Labor .. . , .HP,6411 .-'---~-.-j --- TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS SEWER DIVISION 01\TE ... ............7.,.-," NO..•.••••.. The undersigned appIies for the construction of aparticular sewer connecting No....•.•...•.•.•••••••••••• Street a nd hereby agrees to comply with the Rul es and Regulations governing the construct;on a nd use of Particular Sewers,as now or at any fu ru re tirne established by the Boa rd of Sel ectmen. Arn't of estimate $.......•.. Arn't Paid $. .'"Owner Sketch of Service Here I 3 ( I I I I I I I 1 1 I I I I I 1 I I I I I I I I I I I I I I I I I I1-1-1-1111111 I I I I I I LLLLlII 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-I-[]L I I II I 111-1-1 I I 1 I I U II LI Ii I I I I r I-COl N:I I 1 I I I I ~-I I I N:::1.I 1 I I I~IIII~1111£11 I I 1 I l-n-l'U.1 I LI UJ I rT'-I-1 I I I I I I I I I I I 1111111 U I I , I I I I I I I I I I 111111111-1-1 I I I I I I I I I I I I I I I I I I L11i111111111-1-1 I I I I I I 1 I I I I I I I I I I I I I I I ii l~. Connection made in.. . . . . . . . . . . . . . . . . . . . • • • • . • . . •Street. Remarks: Work oompleted ..•• . . . .... • • •..19••