HomeMy WebLinkAboutWILLIAMS RD 50N 1lI8 .T"",,,,.a M..........._Ser"ice No.1 1';<1.
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Date Material Amount Total Date Amount
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Labor
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I HP-6411
DATE .
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORIKS
SEWER DIVISION I
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I,NO .
Am't of estimate $ .
Am't Paid $.
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The undersigned applies for the construction of a particular sewer connecting No,i .
Street and hereby agrees to comply with the Rules and Regulations governing the constructior and use of Partietllar
Sewers,as now or at any future time established by the Board of Selectmen.I
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i...............'=F''Owner
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Sketch of Service Here
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Connection made in ,.........•.............Street.
Remarks:
Work completed I .••..••...•.••"19 ..