HomeMy WebLinkAboutMARRETT RD 436lunci of Pipe
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JAGillJUt.k N_Service SERVIGJI Ill'TO CURB t Location I.,
Date Material Amount Total Date Amount
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10'I-LL1 01 II,overhead 3 91
16 -5"@.55 8 80
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
-SEWER DIVISION
DAT£.•.•....•..•..•.....••..NO...."..•••
The undersigned applies for the construction 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 time established by the Board of Selectmen,
Arn't of estjmate $."""....".
Am"t Paid $"
.................,:"Owner
Skekh of Service Here ~..,.~
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Connection made in " " . . . . . . . . . . . . . ...Street_
-Remarks:
Work completed •••., • • • • :.••••"19.•
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