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Acldress
'A'ST'Dert ~cConchi~---L'
Location
Service No.110
Ki....of Pipe Sise Size of Main
....TP'''tI(ftiwiP'New .Service Location L!h7~-~-6d
Date Material Amount Total Date Amount
...
.0-22-r::;C;Labor '0 '.32 ~-~~;({;~~---/....~/P'~'..-ceJ
x 1010 O.H.6':\17 Qr::;ff-/-Ld /£/~//.J L/.//z¥-.u:-;7 .5.6"1
10'6"Transite nine (111.70 7 00 ,/
1 Hr.Shovel 6 r::;o
1 Hr.Trucking 7r::;
~??O
h_?'::';_h()T.oh"'T>lR R~
10<J;;O.H.l'66 18 29
..::';f\F."rpT>An""ite nine @n8 27 130
1 HT'ninni n n'1 ilv.R _fiO n 50
,u_m_n,..1..4 ....,..'flil'Z.,1111 ~00 7-10 -~4 -J,I3,~5"9b-·u I.--A??9
Labor //-3--~t/£].,~k..{)III ~iJ~
..oj/,V$'"~.;?~,>P -/-.&I/f ~P'J
H.B.II.16501
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TOWfI'J of LEXINGTON-DEPT.'OF PUBLIC WORKS
SEWER DIVISION
DATE.....I·•••i •••••••••I .•••••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'tPaJd $.....If'••••••••
•••••••••1·1 ••••••••••••I·••",••••',1 Owner
Sketch .of Service Here
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Conn.ctlon mid.In.. . . . . . . . . . . . . . . . . . . . . . . .... . . .Street.
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Work completed ......•...•••••••19••