HomeMy WebLinkAboutMASS AVE 1556~~""c""_~,_~~-""'--'..-.--.~-<-~-,-~'
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Loeation /..£Jt6~?£...r?~m ..
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Kind of Pipe--,.'.
,.lkllIDl'-Renewal-New Service
Size Size of Main
Location
Dale lIlaterial Amount Tolal Date Amount
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Labor
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TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
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NO.DATE _
The undersigned applies for the construction of a particular sewer connecting No.L 1:26/%££.&e
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at an:y future time established by the Board of SelectmelL
Am't.of Estimate $,_
Am't.Paid $_
_Owner
•
•Work completed 19
JSOS~Sketch of Service Here-+J11 i I I I
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Connection made in Street.
Remarks: