HomeMy WebLinkAboutREED ST 1211'&'ii\1':';;'
Name
Address I 2 I REED S i:
lal 7?ee.LST~e.e.L
Kind of Pipe
Repair-Renewal-New Service
Service No.
".
Location
Sise ~,./Size of Main H:".~
Location
Date Material Amount Total Date Amount
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K.8.1I.111501
TOWN OF LEXINGTON":"DEPT.OF PUBLIC WORKS
SEWER DIVISIO,N
DATE I.t ••••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 established by the Board of Selectmen.
Am't of estimate $ .
Am'.t 'Paid $.
•••••••••••••••••••••••••I.,'••••t,'Owner
Sketch of Service Here I 2 I
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Connection made In.. . . . • . • . . . . . . . . . . . . . . . . ..•. . . .Street.
Remarks:
Work completed 19 ..