HomeMy WebLinkAboutMIDDLE ST 16Name Jame s Clyde Service No.83
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Date'Material Amount Total Date Amount.'"'h'7/c.,IT~"I_')1:'""7;.•/,.:?./i ~-.--L/./;;--....,1/-,-,>I,
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE.•.•.•..•...••..•..•.•••,NO .
The unclersigned app1ies fo r the construction of apartieula r sewer connecting No.... . . . . . . . . . . . . . . . . . . . . . . . .
Street and hereby agrees to comply with the Rules and Regulations go\'erning the construction and use of Particular
Sewers,as now or at any futu re time established by the Boa rd of Selectmen.
Am't of estimate $ .
Am't Paid $..,.., , ,..
.....................•............Owner
Sketch of Service Here
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Connection made in Street.
Remarks:
Work camp!eted.... . . • . . . ... . . . . 19..