HomeMy WebLinkAboutWACHUSETTS DR 40Size of Main K'USizet:'N
o V.~d4l$.77S J)r.Location
Kind of Pipe
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Date Material Amount.Total Date Amount i
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2 hr s.trucking 1 50
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ,....•.•.•••.•..Ne.'".
The undersigned applies for the construct;on of a particular sewer connecling No.. . • •__.•."..•.,..•
Street and hereby agrees to rn....."lv with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any fu lure t;me esIablished by the Bo ard of Selectmen.
Am'I of estimate $..., , . ,...
Am't Paid $ ,.
. ," • . ••.._"Owner
Sketch of SerY>ee HeIe
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Connection made in.. . ..•., . , . . . ......., . . . . . . ...$treet,Work completecl .•••_•••••_• . ...19••
Remarks:
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