HomeMy WebLinkAboutWHEELER RD 7:+.55 ((
N .....DeVr1.e.CO.
Adcb'en 7 Wheeler Rd.
7 WA"e/1I//2 _'KtJaJ.
Kind of Pipe
:JJu:siocxRw».........New Sel'Yice
Service No.
Location
Sin (/,.,Size of Main 8'i
Location .
Date Material Amount Total Date Amount
10<::),~N~TALLED BY DEvELOPE!i
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ..•.•,•.•,.•.•••,••••••••NO........••.
The undersigned applies fo r the construction of a parti cular sewer connecting No... . . . . . . . . . . . . . . . . . . , " • • • • "
SI reet and hereby agrees to comply with the Ru Ies and Regulatjons goveming the construction a nd use of PartieuIar
Sewers,as now 0 rat any fu lure lime established by the Boa rd of Seleclmen.
Am't of estimate $....."",.,
Am"t Paid $",."..,"".•••••"
......"__Owner
Sketch of Serrice Here
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Conneclion made in.. ..............•.....,.., . . ...Streel.
Remarks:
Work completed.. . . . _ . .'9,.