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Na_Char1es N.lleOarthy
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"'.Service No.128 '1
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,.,;"AddreSll 454 Marrett Boad Local....,r
Kind of Pipe COM.9-13-54 Size Sise of Mai.I
j ''d ,PsI ..New SelYice $ERVICE WAS IN TO CUEB:Location I
Date Material Amount Total Date Amount
8/24/5 '7~4"aC-/'~,...,--&"/2~~r Y:c//'A-"""/)"4-t7
]0%overhead r,25 79 70 9->1'1 .~-f'J£LR~//'./9,,;:7
~4'-6"sewer pip ~@ .30 16 20 \3 -I (1-0"'1-/'/Y"P /t?
oint oomuound 3 24 ~'~"5 e .......e-r 'P;pe
"1 h .....Lltt~ef'ield Qh"....,ll '7 ;n :">fl 00
~hrs.trll,.Jd,.,,,,Ii!L'7 .<;1 fiO ,
1 .";{1 I'lA ,
~Lr _>L'>£//fIn...."-/ (/?~;.;
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
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DATE ••.••.•.•......•••.•••••NO.......•..
The undersigned a ppIres for Ihe construelion of a particul ar sewer connecling No.... . . • . . . • . ..•...•.•.•...
Street and hereby agrees 10 comply wiIh the Ru les and Regul ations govern ing the construction a nd use of Partieula r
Sewers,as now or at any future IIme estabI ished by the Board of Selectrnen.
Am't of estimate $ .
Am't Paid $.
.','". . . . . . . . . . . ...Owner
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Sketch of Service Here 4 S 4
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Connection made in .....•.". •. . . . . . . . . . . . . . . . . . . .Street"
Remarks:
Work completed .... • • • • • •. • . ..•J9 ••
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