HomeMy WebLinkAboutOXFORD ST 12NIl...
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W!.nsor D.Je11ill Se",ice No.87 ,AIcI_12 Oxt'ord Street
12.0"Por J..S T.Location J
Kind of Pipe Sin./•Sis<>of Main i~.,
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Date Malerial Amount Tolal Dale Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
""""SEWER DIVISION
DATE ..•.•••.••...••••••••.•••NO..........•
The undersigned applies for the construction of a particular 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 future time estabIished by the Boa rd of Se Iectmen.
Am't of estimate $.....
Am't Paid $.
.Owner
Sketch of Service Here
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Connection made jn Street.
Remarks:
Work cornpl eted.. . . . . . . . . . . .....19..