HomeMy WebLinkAboutMASS AVE 1468Kind of Pipe
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Size Size of Main
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Rewk-Renewal-New Service
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWE:R DIVISION
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DATE NO _
The undersigned applies for the construction of a particular sewer connecting No./fI'A!i,e~a,.,.
Street and hereby agrees to comply "'ith the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future time established by the Board of Selectmeu.
Arn't.of Estimate $,_
Arn't.Paid $_
_Owner
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Sketch of Sernet!Here ,4 (,II
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Connection made in Street.
Remarks:
Work completed 19
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