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Date Material Amount Total Date Amount.
5-J.3-58 Labor :>'1'1 .F.O iL-L-<9'-,.-,.r>.'<'//~/Jrl
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
,SEWER DIVISION
•
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DATE.:....•.•••••...•.••.•.•••NO.......•..•
The undersIgned appl Ies for tfle construction of a particular sewe r connec ting No.... . . . , . . . . . . . . . . . . . . . . . •••
Street and hereby agrees to comply with the Rules and Regulations governing tfleconstruction and use'of Particular
Sewers,as now or at any future time estabHshed by the Board of Selectmen.
Am't of estimate $.....,....
","It Paid $.
. , , . ,','•.....Own.r
,Sutch .f 51....ic.H...4 7 2.
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""'l :C •J 'CI ...
If"•-:l~~"'~io"'"
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Ccrtnactlon :mid.rn ,..,~.~-,~.. 'Street,
Remerb:
Work Completed....• • • • • . ...• • . .19.•