HomeMy WebLinkAboutTUFTS RD 18Raa:Dh Mondano
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5erIice No•85
AdcIren #-18 TU FTS RD.
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .••..••.••••.•••••••••••NO.'"......
The undersi gned appIies for the construetion of aparticula r sewer connecting No......••.••.......••••..••
SI reeI and hereby ag rees to comply wi Ih the Rules and Regula Iions gavern ing the construetion and use of Particular
Sewers,as now Or at any future time established by the Board of Selectmen.
Am't ofestimale $ .
Am't Paid $.
.."Owner
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . •. . . . . .Street.
Remarks:
Work campieted .•••.'"19••