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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 " 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 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street. Remarks: Work completed 19..