HomeMy WebLinkAboutRUSSELL RD 15Name
Address #15 Russell Roa.d
Service instslled bydevelope~
Service No.
I 6 7iu s_.s eo J'__1 tJ 'a._rL.
Kind of Pipe
~New Service
Size
Location
Size of Main
Location
Date Material Amount Total Date Amount
.
Labor
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LlD_DAOA
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..