HomeMy WebLinkAboutWINTHROP RD 5LEXINGTON-BOARD OF PUBLIC WORKS
SEWER DIVISION
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I TOWN OF
t,
DATE NO'_
!The undersigned applies for the CllIlStruetion of a particular sewer connecting No.~Ih,.,y.,~
l Street and hereby agrees to comply with the Rules and Regulations governing the colIBtruction and use of Particular
~.Sewers,as now or at any future time established by the Board'of Selectmen.
Am't.of Estimate $,_
Am't.Paid $_
_Owner
•19Workcompleted-'-Connection made in Street.
Remarks:
,
,Sketch of Service Here ~•
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