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LA""1,n....ton locatioIIeo I
killd o'Pipe Sill.Sb:e of Main I
IlQAKXD«[]i'N_Service Com 3/30/53 Location
Date Material Amount Total Dale Amount
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7 HIr.Town Shovel @S 00 ,V ,00 11 Rr ''own Sh"VA1 61<:..(iO t::(in
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WP-9:6-.94C-1_.-._~--,-',,--------.--------_.___1-•__L_..~~_____- ------'
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ..•.•...•...••••••,••.•••NO .
The unders igned applies fo r the construction of aparticu la r sewer connecting No... . . . . . . . . _ . •'.'. . . . . . . . . . . •
Street and hereby agrees to comply with the Rules and Regulatior1S governing the construction and use of Particular
Sewers.as now or at any future time estabIished by the Board of Selectmen.
Am't of estimate $.
Am't Paid $...............•
..Owner
Sketch of Service Here
1 I 1 I 1 1 1 [I I 1 1 I CD I LI 1 1 I I ITI 1 I 1 I I I f [
IluLILlrIIIIIIILlI""I"'I"1'11
[J
Connection made in Street.
Remarks:
Work completed.. . . .•••..•......19..