HomeMy WebLinkAboutMAPLE ST 52-I
-,
'''1'-"~'I,-r""TI
...t!...
Ii.;
::E c:o't ~....
;II J
!
I
~
,lIIl
"{j
Ji Ij
."
,>''.,.I,:,,!II.'~',',""'.
I"~.-s
,',"
~i!
[I~"'I ~:!l!1t,
,.::.I
"iii"C •,
I ";:..:.."II Z (1J
~"
r ,I:\1
,~1•~,..~.,,..,,',
';,,I ,-\i ..,)~.
1".I.";:L,",'·'" "
iii,f:...III'/'"
I,,~",.'"..,'
~,',,:
,.'
"
,
i
-~._-~....~-~.--:---~
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
...~SEWER DIVISION
DATE __.........•._......•...NO.._. " ".." .
The unders;gned applies for the construction of a particular sewer connecting No.. _. . . . . . . • • _ • _ . • . " . _ " " " • " •
Street and hereby agrees to comply with the Rules and Regulations governi.ng the construction and ....se of Particular
Sewers.as now or at any fu ture t;me establ;sfled by the Board of Selectmen.
Arn"t of estimate $ " .
Am"t Paid $.." " .
Ovvner
Sketch of Service Here
. , I !I I I I I I 1.1 I ,I '-:::::",111I11111111
rT\I III LL'
I I I I I I I I I II I 11-1 I I I I I
I I I , I 1:1 I I I
1 I I I
1 I I I
I I I I
I I I I
I I I I
I I 1 I
Connection made in "• ". " " " ". . . . . . . . . . ... ...Street.,
~rks:
I I I I I LL[I II I
IIITIII i III I II I I I I 1-1-'I I I r
I I I I I I I I I I I II11.I I I·I I I I t
I I I I I I I I I I I II
I I I I I I I I I I I I )
I I I I II I !I I I I )
I I I I I r I I I I I I I
Work completed " " •••• • • • _ • • • •••I 9.•
~'-:-~-::L-----,,---'----~_~____...._~~
....::._.-;:-::;--~'.~"J.~
'il--~2-S5it"7~.~~_.__-<._--,----_.~-..----_.._--~~--,,'~~-:;.