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I Ra "'Dnand W.J ame s Service No.J 82l'---~~~~~---------------_---L..u....<:....-_-
Address 66 Blake Rd.
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(__Kind of Pip.e
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.epau~New Service em;,;.11-23-53 Location
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Date Material Amount Total I Date Amount
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lflhl,/r:::.//2~A ~d1/Lghol"'31 78 /t?-/;;"-.~~......./p?P #-d-a-~/~/'Ir T'~10L;overhead 3 J8 17 16 //-.-J(1 -.-1l P ~~/c:JI{]
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1?'_nil SAWFlY'Pioe @ ?'O~n 9 72 ~.-1-3GJ
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Jo :nt comoound 1 92 ,
')TY>T.;t+-.1 ",f'i ",1 n Sr-!ovel C"7 c;n l~00
2 -Trucking 1 -:;0 Ir.-
!6~10 1
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~-Labor
lIP-7919 •
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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\Ners,as now or a"t 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: