HomeMy WebLinkAboutWALTHAM ST 99 - 101i
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TOWN OF LEXINGTON -BOARD OF PUBLIC WORKS
SEWER DIVISION
DATE NO
The undersigned applies for the construction of a particular sewer connecting No.f9.".4?/"//h4U?Z ..I"'~
Street and hereby agrees to comply with the Rules and Regulations governing the construction and u'se of Partieulm:
Sewers,as now or at any future time established by the Board ofSelectmen.
Am't.of Estimate $,_
Am't.Paid $_
_Owner
Sketch of Serviee Here
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Connection made in Street.
Remarks:
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Work completed ,
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