HomeMy WebLinkAboutMARRETT RD 375I
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .............•...•.•....NO.'"..•.__
The undersigned applies for the constru<:tion of a particular sewer connecting 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 lime established by the Board of Selectmen.
Arn't of estimate $.., ,...,..
•Am't Paid $.
....~~~-._...."OvJner
Sketch of Service Here
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Connection made in ... . . . . . . . . . . . . . . . . . . . . . . . . ...Street,
Remarks:,
Work completed •••••. • • . ...19._
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