HomeMy WebLinkAboutOUTLOOK DR 30Location -'i
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Location
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Kind of Pipe
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Dat-e Material Amount Total Date Amount
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TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ,......•......•..
The undersigned a pplies for the construction of a parti cular sewer connecting No.. _ _
Street and hereby agrees to comply with the Rules and Regulations governing the coostruction and
Sewers.as now or at any future ti me estabIished by the Board of Selectmen.
Arn't of estimate $ .
Am't Paid $..••...•••....•
NO .
~Se of Particular
......_ . _ ____. . . ...Owner..~..~~...~...
Sketch of Semce He~~ro
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Connection made in .........,......,.............Street.Work completed ..•_.___•_•••." 1 9 ••
Remarks:~._~Oc..-t-It.,Iq,CU:;-S~~'"">-...J<:-
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