HomeMy WebLinkAboutPEARL ST 16~;-.'--------:--<¥'~~--~->;~'""i:::';-""'--#
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5emce No..
Sin <&,.Size of Main r ~
Location-
Date Material Amount Total Date Amount Ii
~2 •6"V.C.'Dine."1.00 66 00
Ina talled by oeD·Wactor
B:1.:L1 owner when connectbd i ,
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Labor
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HP-969....J~h i I L _.=--~._---~.-~---~.--- -
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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 Board of Se lectmen.
Am't of estimate $.
Arn't Paid $.••.......••••••
. . . . . . . . . . . . . . . . • . . . . ••.••. .Owner
Sketch of Service Heft!J~9.S.F"__-/r;..
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Connection made in.. . . . . . . .... . . . . . . . . . . . • . . . . ...Street.
Remarks:
Work campleted...,. • • . • . • . . . . . . 19..