HomeMy WebLinkAboutWILLIAMS RD 64_Jlf,~~..-
Service No.63 -
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-New Seni e SERVICE WAS IN TO CURB:Location
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I,.)atjl I Material Amount Total Date Amount,
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WpRKS
SEWER DIVISION
DATE•.•.••.•••....•••.••., ,••
.,.,.
NO......••,.•
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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 constrU¢tion and use of Particular
Sew~rs,as now or at any future time established by the Board of Selectmen.
Am't of estimate $..,,.
Am't Paid $..,.
, ,,......•.........Owner
Skekh of Service Here
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Connection made in , . , , ,..,.., . , ,..Street.
Remarks: