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Location
Sin 0*M'ainSin
Com.--"*i Date Materia!Amount Total I Date AmountI
June Ie:'u Labor ~~~O I\LAU /1 '.-..II (\Jf:~_L L--f_ntoo 00
Ie 61 00 ~i..IA ~()Jlp -c;rr/.1.f .:</£'7
17 8 60 127 10 (//I /?.P ./.7
_.----"-10···.~Overhead 12 71
76 1 -611 Sewer Pipe ·3;.26 19 76
1 -6"IlL-Bend 1 50 I
Jo~nt.Comnound h C;6
'T'ruckin0"2 hrs.@,.7S 1 So
Patchina 11 x 1 11 00
178 11.
.Labor-
I
I
t.HP-7919
~.Kind of Pipe11 _
{fiP~~New Service
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
Se'INers,as now or a"t""any future time established by the Board of Selectmen.
Arn't of estimate $._.
Arn't Paid $_ .
...................................Owner
Sketch of Service Here
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Connection made in • . . . . . . . . . . . . . . . . . . . . . . . . . . ...Street.Work completed . . . . . . . . . . . . . ...19..
Remarks: