HomeMy WebLinkAboutMASS AVE 251 - 253-1;~:e-:tJiJ{...-
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Kind of PiWN'.Sin Sise of Main
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Da"te
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Material Amount.Total Date Amount "
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .....•..•..•.••.•.•••..•NO __.
The undersigned applies for the construction of aparticuIar sewer connecting No....••.••_ _ _
Street and hereby agrees to comply with the Rules and RegulaNens goveming the construction a .....cI
Sewers.as now or at any future time estabIished by the Board of Setectmen.
Am',of estimate $.. . . . .....
~of Particular
Am',Paid $.
_ _ _ _ _•..."Ovvner
Sketch of Se...ice Here
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Connection made in.. . . . . . . . . . . . . . . . ... . . . . . . . ...Street
Remarks:
Work completed ••• _ _ _ _ _ _ _ _ _ • •••19.•
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