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Kind of Pipe C01\l.8-30-54 Size Size of Main
SERVICE WAS IN TO CURB:Location
Date Material Amount Total
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TOW,N OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISIO,N
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 at any future time established by the Board of Selectmen.
Am't of estimate $.
Am't Paid $...............•
.Owner
Sketch of Service Here
Connection made in Street.
Remarks:
Work completed 19..
Location"
I Name Service No.I .Address 10 Ba:et1ett Avenue
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Amount
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Total
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Amount.MaterialDate
1 Kind ,of Pipe Size Size of Main
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10%CV6';.'}jead 1120 13116
24-6"se'v;6r [i;e6.3036 ~l 129
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ".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 of Particular
Se\Ners.as nO\N or at any future time established by the Board of Selectmen.
Am't of estimate $, . ,
Am't Paid $,.,..
Owner
Sketch of Service Here
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Connection made in Street.
Remarks:
Work completed "19,.