HomeMy WebLinkAboutREED ST BLOCK 17 LOT 16NaMe
Adclnss VAC./LOT J6 SLOCK /7 REED 5T
Location
Sewice ....
Kind of Pipe
Repair-Renewal-New Service
Size ~,.Sin of Mai.ff "
Location
Date Material Amount Total Date Amount
/'
Labor
H.B.M.1S501
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 established by the Board of Selectmen.
Am't of estimate $ .
Am't Paid $.
.Owner
Sketch of Service Here
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . .... . . .Street.
Remarks:
Work completed 19..