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KintII of Pipe Si",e lOin of MaIn c
QliP*"ill'Jtx'Wlo SerwiceSERVICE INTO CURBOTO BE CHARGED WHEN CON]>IEdtl!iJion c!'-1'?#P"7"d':T...-,
"Date Material Amount Total Date Amount
3/12/5L Labor 36 20 I?-hd /../'.;:fA?<:16
0%Overhead 3 62 1«82 Y-9-.fJ?~lA~_/~/P
201 1-6"Sewer Pipe @.3(87 6 17
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£?<.7/
.J.-f,'~'Fr.1.1 88
Je-4.~t Gompolmd ~,1 8\l '
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2 H [os Town Shovel.'"00 10 00
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to TruckinJl ,
r:;q 82
7-20-5~Owner aUDtl11ed 4'Caat I ~on Pine ,
0'11 TOA...+'tB ,-_.-
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1
TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
eME .NO .
The undersigned applies for the construction of a particular sewer connecNng No "............••.•••
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particular
Sewers,as now or at any future time established by the Board of Selectmen.
Am't of estimate $,
Am't Paid $..
"I
Sketch of Serville Here 4 4 2-
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. . . . . . . . . . . . . . . . . . . . . ...• _.•....•.Owner
~,
Connection made in ,...Street.
Remarks:
Work complete<!.... . • . .1~•.