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leJYice No.50
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L.r-l ftO'_t:.on Location
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Kind of Pipe
..,.,,'I"III New Service COM.5-18...5:5
Size Size of Ma in
Location
Date Material Amount Total Date
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Amount
1.11 .:/.:.,IT.atJor _ _I 22 b II I II.y-nt"1'1 /1~M ,r.:,-/I "..,.,.r I~
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____-.....-JJJ....1J/r.Littlefield shfvel @7.~30 IruLJ l~6"Sewer :Brei 1__f-~-J..fJ'_n~'r~__~?c ,r-It ,Ic~-I]1-1
.,~l'l"l II •IlL IRt?f~/~¥fZ R C<;:~.·I .R I--1--1
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Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE..•.....••...•••••.••••••
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NO....•••...•
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The undersigned a pplies fo r the construction of a parti cular sewer connecting No....... . . . . . . . . . . . .
Street and hereby agrees to comply with the Rules and Regulations governing the CQnstruction,and use of Particular
Sewers,as now or at any future time estabJished by the Board of Selectmeo.
Am't of estimate $ .
Am't Paid $........•.••••,.
.•...•..............••........,•..Owner
Sketch of Senrice Here
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IrI I I I I I I I I J I I I I I I I I I I I I I I I I I I I I I II
I I I I I I I I I I I I I I I l I I I I I I I I I I I I l--.l I I I I
I I I I I I 1 I I 1 111 I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I j I I I I I I I I I I I I I I I I I II I I I I I I J
Ul-I I I III I I I I I I II I I I I I I I I I I I U I I I J
I I I I-tttJ---J I I I I I I II I I I I I I I I I I I I I I I I I
1 I I I l I I I I '++I Il I I I I I I I I I I I I I I I I I II I I I I I I J I I II I I I I I I I I I I I I 1'1 I I I I I I J
I I I I I I I I I I I j I I I I I I I I I I 1 I 1 Iii 1 I r 1 I J
I I I I I_I I _I I I I I I I I I I I I I I L I I_I,I J I U I I I J
Connection made in ...............................Street.Wark completed.. . . . . . . . ...••...19 .•
Remarks:
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