HomeMy WebLinkAboutWOODLAND RD 6Ma_
serviee to em-b ~to be Oh&iogedCwh~n.-eortneot~d f
\-Senice No.
Melress nouse #5 Woodland Rd.
'lot #15 Woodland Road
Lexin£ton.Masa.location
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InNTALTED BY CONTRACTOR
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...........•............
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NO....,.....
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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 01 Particular
Sewers,as now 0.-at'any future time established by the Board 01 Selectmen.
Am't of estimate $,
Am't Paid $, ,
................................."Owner
Sketch of Se...ice Here
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Connection made in ,.,.,,Street.
Remarks:
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Work completed ,..,.19.•