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r ~New Service OOr.!.9/8/52 Location
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Material Amount Total Date i I Amount--
T.lClhr\,...29 140 /),",~A~f-~d I
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I 1d%overhead 2 194 32 34 i,9'-//1-;-:;>-I ~~/,/r .J ""/L",7
i 52 1 \i -/\':c-z'1 /-6"sewer pine @ .642 17 78 il Ie \='I i Ij
,II]i_6"elbow 1 188 1~
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HP-9694
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
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
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Connection made in._.............................Street.Work completed.................19..
Remarks: