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Dat'e """"aterial Amount Totai Date Amount ,
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84/5::.La.'b e>:ra 68 12 -P-..J¥-./,~A <"/>t'c/I
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-10~Overhead 6 81 74 sa ft...1,..~,'IT :>/At.d:~/(./.A vP I
-17 •-5-transit pipe@.~9 :L8 ~/
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."16 ..·6"sewer p pe\S.3C3~4 86 6-ao-,,3-.
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.i I::>:L.r:J.t 96 2'6"Sewer--p,~gCOOlpDcnd ,
2 ~:3 /trucking 1 50 •
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TOWN OF LEXI NGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
....
DATE ....•........••.........NO.........•
The undersigned appl;es for the construction of a par!1cu la r sewer ccnnecting No...•.•.••• _ _
Street and hereby agrees to comply with the Rules and Regulations governing the construction ar1ld
Sewers.as now or at any future time establ ished by the Board of Selectmen_
Am't of estimate $ .
.....se of Particular
Am't Paid $.
.~,~.,.~.~..;.___•••••...Chvner
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Sketch of Service Here 2..~
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Connection made in . . . . • . . . . . . . . . . . . • . . . . . .Street_
Remarks,
Work completed ••••- --..19 .•
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