HomeMy WebLinkAboutNORTH HANCOCK ST 55iF ;;,:,,':=::::::::''''''G=;='=-~':"~~~'"c,.~"'h~~~,n Service ~aL'"-'I
Address :$:or:H;Qek Street i
ex ng n.n.LOcation S5 North Hancook Street ~
Kind of Pipe Sise Sin of Main
...._trw v-.New Service Com 1 2 -)1_$0 Location
Date Material Amount Total Date Amount
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Labor
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TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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 Regulaiions governing the construction and use of.Particular
Sewers.as now or at any futu re time estabIished by the Boa rd of Se lectmen,
Am't of estimate $,. , . ,.....
Am't Paid $..•............
. , , . , ,.., . ,,.•Owner
Sketch of Service·Here
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Connection made in , ,..•....,.,,Street.
Remarks:
Work completed ••••••, , ,.•••."19••