HomeMy WebLinkAboutREED ST BLOCK 18Ha...
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Location BLOC K 18
Service No.
LO-lS 6-7
Kind of Pipe
Repair-Renewal-New Service
$ise Sin of Main
Location
Date Material Amount Total Date Amount
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H.B.M.16501
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE I ••••'•••••••I.'••••N'O...••.•••••
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'tPaid $....1 •••••••••••
••••'••••••••••••••••••••••,,1 ••••','Owner
Sketch .of Service Here
Ala I 1201::
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5,rA.P..J'.17
15"'/'L I
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Connection mid,In.,....••'..•.....'•."...•'...'•., . .Street.Work completed 19..