HomeMy WebLinkAboutWHEELER RD 3r~~-o,,;,·""7~~~~~-N._n.Vries Co.Senrice No.
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3 idA efL/e-r :R'oaJ Location
Kind of Pipe Size ~,.Sin of Main ["
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Date Material AmoLlnt Total Date ,Amount
1 0 <=:),IN~'PALLED BY DEV ELOPER
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Labor
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HP-969....---------
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .•••.•..••••.•.•.••••..••NO....•.,•..•
The undersigned applies for the construction ofa 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 0 r at any future time established by the Boa rd of Selectmen.
Am',of estimate $.....••...
Am't Paid $..............•.
..Owner
Sketch of Service Here
LI I I I I I I I I I I I I I I I I I I I I
r I I ILl I III I I I I I I I I I I I II I I I I-I-IT I I I I I-I I I L I I I I-I
-I-I~I I I I I I I I I I I I I I I III I I I I
Connection made in Street.
Remarks:
Work completed.. . . .••..........19..