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N_n ..v",i8.CDns.i;._Cl>.L Inc.Se",ice No.
Md_15 Locke Tane
Location
Location
S·of Main'seSizert0•CI
CD.New Service InataIled b
Kind of Pipe
•Repai
Date I Material I Amount ij Total~Date I 1 Amount
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
.II ...ilJ ~.....-.--..,:
DATE$!~/8 199 2.,..~~.NO , ,
The undersigned applies for the construction of a particular sewer connecting No........•................,..
Street and hereby agrees Ie comply with the Rules and Regulations governing the construction and use of Partkular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $.
Am't Paid $.., . , , , .
.Owner
Sketch of Serrice Here Ia-
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Connection made in ..(.P.Cfq;W:'{!;"Street.
Remarks:
/!t:JD1!97-3
Work completed.~/~.....!997
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