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Add.e...lB'C""Vasa.Lv"nue
/ 2 9 q MCiI .ss.Ii lie.Location 12Q9 Mas a.Avenue
Kind of Pipe Siz:e Siss of Main
~.J ltIrA'#117l"ol.j[New Service Location
Date Material Amount Total \Date Amount
Nov 6 '4'7 T....hnlO '78 14,9 '7e.49 f9:J.'l{),L/?/\/'1:J./:j /~-(/(/()
10"OVerhead 'J 85\,,,/I a/V.-#I /-'jL,_3/4-l'c,
50'.'6n Sewer P ,pe @.2E H 00 ,/1'-'..5'".~,t.
.Tni:nt Comnound I '~00 1
Hi ,..An ~hnvAl :z;h r-s @ '7 00\2'001
T,n..d ......2 hrs.@ 3.00 E 00
'houckinll 2 hra.1!!.'75 i ]50 '
l'..+-~h~n'"~5 x :3 \U 00
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ...•.•.•.•...•.•••.•••••NO....•.••.•
rhe 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 Of at any future time establ;shed by the Board of Selectmen,;:
Am't of estimate $,..•.•••.•
Am't Paid $ " . , .
.,Owner
Sketch of Service Here J 2 9 9
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Connection made In ........•..•.•...•.•••.•••.•..Sfreet.
Remarks:
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Work completed . . • • . . . • • • . • . ...19.•