HomeMy WebLinkAboutRUSSELL RD 16<!l
Name
Address "#16 Russell Roed
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Kind of Pipe
~k-New Service
Size
Service insttilled by developer
Service No.
Location
Size of Main
Location
Date Material Amount Total Date Amount
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Labor
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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
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:
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Work completed 19..