HomeMy WebLinkAboutWINCHESTER DR 24N_I ..~..('!....n'•""nn ('!'"Service No.
Md_24 Win~he8ter Drive ,
Locatioa
Ki ncI of Pipe Size Size of lIiIai n
Repair-Renewal--New Service Tn""'al 1 ..i1 hv n..~-'~~"T"Location
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE..........•.•.•.......•••NO.......•...
The undersigned applies for the construction of a particular sewer connecting No .
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or a t a ny future time estabrished by the Board of Selectmen.
Arn't of estimate $.
Arn't Paid $.
.Owner
Sketch of Se...ice Hen!
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f------f--+-+-+-+---+-+-+--+--+----111-+-+---l-l----+-::----+--+-f-+1-+-f-+-+-+-+-+-+-+-+-+I--\1II I
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Connection made in.. . . . . . ... . . . . . . . . ."Street.
Remarks:
Work completed.. . . . . ..... ......19 ..