HomeMy WebLinkAboutMAPLE ST 136l'.~,.'c....
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AM....130 MAP[T:SI_-_~_~_
Location
.,
Kind of Pipe Sise Size of Main
LocationRep.air--Renewal--New Service-.
Date Material Amount Total Date.Amount
4-2 6-p16
40'&.,.Tr aN S ;7e..
}'"£1 ho'V
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Labor
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DATE _.
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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NO.•.•••••••
The unders!gned applies for the construction of a partku!ar sewer connectjng 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 establ;shed by the Board of Selectmen.
Am't of estimate $........•.
Am't Paid $..,.., ,...,.....
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Connection made in ,...._....,•..•.....••...•..••Street.
Remarks:
Work completed., ,•.••.•.••,...19•.