HomeMy WebLinkAboutMASS AVE 109~-....,....,~~~-:;-~-'"~~~-~---~---......,.,.,-~-
Name 0~-~"-~~~0 (09 N~,4ue-Service No.
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Lotatioo /t:J'?~?fi 4ve-.
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II
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Kind of Pipe
Rep;Ul'-,Renewal-New Service
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Labor
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Amount
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Date
Location
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Amo1lIlt -!:..:£
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO
The undersigned applies for the construction of a particuIar sewer connecting No./1'2 P ~r £.r2V....
Street and hereby agrees to comply with the Rules and Regulations governing the construction and usc of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid $_
_Owner
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Sketch of Service Here I 0 q
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Connection made in Street.
Remarks:
Work completed .19 •