HomeMy WebLinkAboutREED ST 71Name Service No.
·Address 7/~sr------~----------~-----7/'R e e J....S I ....A eo -r Location
Kind of Pipe
Repair-Renewal-New Service
Sise ~"Size of Main B'II
Location
Date Material Amount Total Date Amount
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Labor
M.B.M.18501
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISIO,N
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
Sewe;"as now or at any future time established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of Service Here '7 I '
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Connection made in ....;..,. . . . . . . . . . . . . . . . .... . . .Street.
Remarks:
Work completed 19 ..