HomeMy WebLinkAboutWHIPPLE RD 17.....Service No.'I).Vli}••CDna troll et1 Qll Co •Tnc.
Addr81s 1'7 Whinn1A lIDad
17 WI.,'"i:"7ft>""J,Location '
Kind of Pipe Size ~..Size of Main 1'''I
LocationInstalledbvdevelooerRepair-Re...._al-New Service
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I I I ItlP-'969.I
TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE., , , ,.., , • , . , ,••, , • , • , • , •NO,""",."
The undersigned a ppl ies fa r the construction of aparticuIar 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 rat any future time estabIIshed by the Bo ard of Se lectmen.
Am't of estimate $..",.,."
Am't Paid $.,.."."..".,.
, , , ,....................•......., ,Owner
Sketch of Se....ice Here
Connection made In Street.
Remarks:
Work campleted.... . . . . . . . . . . . . . 19..