HomeMy WebLinkAboutNORTH HANCOCK ST 49Sise of MaiDSise----
•2''''.sa TNew Senice Com.Jun"27.H~119 Locafion
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Date Material Amount Total Date Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ....•..•..••...•....., , .NO .
The undersigned appl ies for the canstruction of apartic ular 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 ruture Iime established by the Board of Selectmen.
Am't ofestimate $....,....,
Am't Paid $ ,.
...'--~~~.~....~Owner
Sketch of Se....ice Here
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Connection made in ".,.,'",•.........Street.
Remarks:
Work completed ••• • __._ • • • . . •..19••
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