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,,.",.~L._.;".Name".Ilrx __en "SIlrvb"No.'1~.-,..'
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Lacation ~-,/~-'>-7-<..6-£:
Kind of Pipe Sid Ske of Main".''7''·'7.New Service Location
Date -Material Amount Total Date .Amount
6/25/56 Labor 64 07 liON mIARGE
6/26/56 •2'1 73 T~,",....13 20
6/28/541 ~•17 00 4C t 8·Sewer Pipe @.4155 18 20
I 108 80 JoLot cc:mpound 240-
10"Overhead J.O 88 ll9 158 ,.,,.,RO-.It @ .45 lS40.'''-,Sewer pip 20
Joint COIl:Dound ::40 b -/f-0-t j;)~~19i5...3"""
l.Manhol.e cover Ii:frame 2~60 /0-:>--9 c:rt rltrLA j),.,r ,/jf YO
800 Cement bl"4 :Lb.o.6•0OM 2C 80 15 ~/~I
6 bll2S c_ent @l 21 r,62
6 brs.Litt1erie ..d @ 8.:0 5'.00
Labor 6 bra.truck1rig @I.'15 .4 50 #3 )..77 JPP~~j ~w,llr1I1{3
25'
I
80
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
-BATE-..~.~"••'.".......~.......NO..••••••"'
The undersigned applies for the construction of a particular sewer connecting 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 $........•...••..
..Owner..............................
Sketch of Service HeN
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F F ,I..LI I-I I ' ,-..,Ii ' .
Connection made in............•....•.•., . . . . . . . .Street.
Remarks:
Work completed ..... • • . . . . • . ...19.•
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