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Kind of Pipe :Ceal"-'JwHt 14.1:94'8 Size $ise of Main
Ilepair-R_al--N_Sen4ce Location
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Date Material Amount Total Date Amount 1
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lllitv 27 148 Labor lS9 90 39 70 ~....J /'7 '<t.i --;:...(b.0_0 1.<.-.•'9 !
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148 1 -e·Sewel'Pi 1l1l'@ .2 12 48 J-Ir,,""'''C'86-d 2 ,
IT~~~'-fleld Shove 3 bra 21 00
1."4 __..•1 Ill'.&l 3 00 3 00
~n..lr1 ...'"2 hl-.fI '16 ......i150
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
~.1'10 .
The undersigned a ppl ies for the construction of a partieul ar 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 a ny future time "stabIished by the Boa rd of Selectmen.
Am't of estimate $ .
Am't Paid $.
...............................•."Owner
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Connection made in.. . . . . . . . . . . . . . . . . . . . . . . . . • . . .Street_
Remarks:
Work completed • . • • • • . • . . • •. •..19••
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