HomeMy WebLinkAboutMASS AVE 1536,•
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TOWN OF LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
DAlE NO __
The undersigned applies for the construction of a particular sewer conneetingNo.££?4 ~£L:4 ....e .
Street and hereby agrees to comply with the Rules and Regulations governing the construetion and use of Particular
Sewexs,as now or at any future time estabfu;hed by the Board of Selectmen.
Am't.of Estimate $_
Am't.Paid $~_
_Owner
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Sketch of Service Here /4 .:J •-
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Connection made in Street.
Remarks:
Work oompleted .19 ~