HomeMy WebLinkAboutWOBURN ST 471\
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TOWN OF LEXINGTON-BOARD OF I7'UBLIC WORKS
SEWER DIVISION
DATE •N'1!-
The un signed applies for the eonstruction of a particular sewer connecting No.~"iv~._
.street a.nd hereby agrees to comply with the RuIes and Regulations governing the construction and use of Particular
Sewers,as now or at any future time established by the Board ofSelectmen.
Am't.of Estimate $-!In ~
Am't.Paid $'---:--,-1l .O\M _k.p~Owner
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Sketch of Serviee Here •
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f Connection made in Street.Work completed .111
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