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~....Richa.rd Magnant!Ii.\.'enlc4 He:177 _
..._12 Loring Road
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....p."'.c••1-N_s..nee Location!
Date Matericl Amount Totcl Date ~Amount,
ll/h/S Labor 16 16 /0 b;.-I/a?...tV"L:~J/5 .IblJ #0
-101.overhead 162 1778 "l1--ht r~",R.A'..J <52.'3
,38'-6"Transite ni'e @ .70 26 60,)(t "17,37
11 6"Transite 11i<Elbow 2 2!.L
-1 u..Trucking 75
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE••..•••.••..•.••.•.••••••
{of .......~•':'I
NO.••..••••••
The undersigned applies for the construction of a particular sewer coonecting No ,.................•••
\Street and hereby agrees to comply with the Rul es and Regu la tions governing the COnst ruction and use of ParticuIar
Sewers,as now or at 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.
,Remarks:
Work completed...............••J9 ••