HomeMy WebLinkAboutMIDDLE ST 12Na.R"vmoTl n ~Whi t-~..Service No.R?
Kind of Pipe
Address 12 Middle St.•
Lex!!1gton
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location /2I1J',lLIe.Sl.
Sin of Main V ,1
ItlI!J(M!'8E-.~~NewSe....ice COlli.7-13-53 Location
Date 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 a pa rticular sewer connecting No .
Street and hereby agrees to comply with the Rules and Regulations governing the construction a nd use of Particular
Sewers,as now or at any future tIme est.blIshed by the Bo.rd of Sel ectmen.
Arn't of estimate $ .
Arn't Paid $.
.Owner
Sketch of Se....ice Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SI reet.
Remarks:
Work completed 19..