HomeMy WebLinkAboutMASS AVE 440,
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEW.ER DIVISION
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DATE:............•...........NO _..
The undersigned appl ies for the construction of a particular sewer connecting No.. _ • • • _•.•.•.•...•••
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any fulure time estabIished by the Board of Selectmen.
Arn't of estimate $..., ,.....
Am't Paid $.
.~~~~~-..~~~.Owner
Sketch of Sel'Vice Here
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Connection made in ..............•............."Street.
Remarks,
Work completed • • • • _.....-.......~...19._
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