HomeMy WebLinkAboutRUSSELL RD 7Name
Address #7 Russell Road
7 -n&4s.!Se.JI 7?6arL
Kind of Pipe
~~New Service
Size
Service lnst~lled by developer
Service No.
Location
Sin of Main
Location
Date Material Amount Total Date Amount
Labor
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UD_OAOA "
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..