HomeMy WebLinkAboutWHEELER RD 5N_neVr1.••Co.Service No.
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Date Material Amount Total Date Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE .....•................•••NO.........••
The undersIgned appl i.es for the construction of aparticu la r sewer connectlng No... . . ...... . . . . . . . . . . . . . • • • •
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers.as now or at any fu ture ti me establIshed by the Soard of Selectmen.
Am't of estimate $ .
Am't Paid $.
•Owner
Sketch of Service Hefti
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Connection made in... . . . . . . . . ... . . . . . . . . • . . . . . ...Street.
Remarks:
Work completed.... . • . . . . . . • . . . .19..