HomeMy WebLinkAboutPELHAM RD 5LEXINGTON-BbARD OF PUBLIC WORKS
SEWER DIYISION
r-.-
TOWN OF
-......-....-1_._~_'..;>oIIp
--"'--~.:!'"""""~~--~-""-.--f
I •
use of Particular
NO.,_DA"J'E
The undfu-sign<id,applies for the construction of a particular sewer connecting No._
Stnrt.'"n~hel'eby agrees to comply with the Rules and Regulations governing the construction and
Sevfers,as now or at any fnture time established by the Board of Seleetmen.,.
Ari!'t.of Estimate $,_
Am't.Paid $_
_Owner
Sketch of Service Here •
..V;'~i;~~~_~_~,_,~~..-.£...._"-~~'~.::.!-__-'"..--;-L-;i;-,-':;:::'T--:~4:":':~
?
Connection made in street.
Remarks:
~1-_?___~_"
~"'i~.C:-~:~t$;t~t--~'-:-~;~_-~~_=_i<~~
Work completed 19 (.