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.~."~.1 ...Se'No..12".Angust;J.Iocb"rYCe .~!h68 Ms.rre.:tt Rd.I----~8ipe Size Sin of Main :
.,."I IIIAlU N_Se",ic:e COM.5-18-53 Location
Date Material Amount Total Date Amount ,
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r,/1 ':I./c::'''l.L 10 In Y-.Jd -I.<.-~'d_~f~//>.;;"-
1 O~overhead ~09 34 01 ,-/.!C ..;;~~A~/../(~s ;9/
.':II,•_C::".,,-~.,..i T...Pi n"1$,<;<;18 70 /
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,'"11 ....,..._1 SA /
,;l'...T.'!:+:+.1 ..f'i ..1 rl Shhvel ~7,1.;'0 h.<;00 .
2 E:1".Truckinll:1 50
»6<I~h'~~'(1,..':1 10 00,
111 iOQ
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Labor
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ....•..••.•.•••••••••••••NO.......•••.
~'
The undersigned applies for tf1e construction of a particular sewer connecting No............••..•.••..•••••.
Street and hereby agrees to comply with the Rules and Regulations governing the construction and use of Particufar
Sewers.as now Or at any future time established by tf1e 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.. . . . • • • . . • . . . . . .19.•
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