HomeMy WebLinkAboutPAUL REVERE RD 21"""1 ~,-.-"
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Service No.
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Kind of Pipe Sin ~,.Size of Main
Repair-Rene_a.--New Service Location
Date Material Amount Total Date Amount ,
9-,2Q-.#1'7 I
7C/4>"-7_-5/115 ;r~i I,
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HP-969"i i "
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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DATE.•.••••••.••.••0 ••••••0 0 •NO 0 0
The undersigned appl;es 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 0 rat any future time established by the Board of Selectmen.
Am't of estimate $.
Am't Paid $0
..................................Owner
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Sketch of Service Here 2 ,
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street.
Remarks:
Work completed.....•_••........19..
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