HomeMy WebLinkAboutWINCHESTER DR 34-,
Name DeVr1.ea Const.Co.Service No.j
Location
Address 34 Winchester Dr~i!cv~e =------:-j
Kind of Pipe Sin Size of "'"ain
LocatJonRepair-Renewa~ewService rnat~lled _by DevelooDe~--
Date i Material Amount Total Date Amount
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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 any futu'e time established by the Boa rd of SelecImen.
Am't of estimate $.. . . .
Am't Paid $•••....•....•..•
.Owne,
Sketch of Service Here
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Connection made In ,Street.
Remarks:
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Work completed.., , ,19..