HomeMy WebLinkAboutWALTHAM ST 125••
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PUBLIC WORKS
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LEXINGTON-BOARD OF
SEWER DlYISION
TOWN OF
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DATE NO""'~'~--~-'--
The undersigned applies for the construction of a particular sewer connecting No./.2f"lk4m d:
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
s..'Wers,as now.or at any future time established by the Board ofSelectmen.
Am't.of Estimate $,_
Am't,Paid $_
_Owner
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Work completed _
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t'..;Connection In3de in .Street.
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